Clinical Inquires
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Clinical Inquires

This questionnaire collects basic personal data, medical history and physical status for preliminary eligibility screening, helping the medical team quickly assess your application qualification.
Isolated Motor Dysfunction Isolated Language Dysfunction Combined Motor and Language Dysfunction
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Privacy Policy

Effective Date: April 23, 2026

Thank you for your attention to Brain-Computer Interface (BCI) research. There are one or more potential BCI research projects (hereinafter referred to as "the Project"). We welcome your participation in these projects. To help you efficiently match with these potential research projects, Shanghai NeuroXess Co., Ltd. (hereinafter referred to as "We"), as a participating or assisting institution of the Project, collects your information as follows.

 

We will strictly abide by the Personal Information Protection Law of the People's Republic of China and other relevant laws and regulations, adhere to the principles of legality, legitimacy, necessity, openness and transparency, fully protect the security and privacy of your personal information, and provide you with compliant project services.

 

This Privacy Policy is intended to explain how we collect, use, store and protect your personal information, as well as your relevant rights. By participating in the Project, filling out relevant questionnaires or submitting personal information, you are deemed to have read, understood and agreed to all provisions of this Policy; if you do not agree, please do not participate in the Project or provide any personal information.

 

1. Scope of Application

This Policy applies to all stages of your participation in the BCI Project, including questionnaire filling, eligibility screening, project implementation and follow-up visits, and all links involving the processing of your personal information. This Policy does not apply to the information processing behaviors of third-party institutions (such as cooperating hospitals and testing institutions). We will supervise third parties to comply with relevant privacy protection regulations.

 

2. Personal Information We Collect

We follow the "minimum necessary" principle and only collect personal information required by the Project without collecting irrelevant information, mainly including:

  • Basic identity and contact information: name, gender, age, ID number, contact phone number, emergency contact information, residential address, etc., for identity verification and follow-up communication;
  • Medical and health information: paralysis-related diagnosis, onset conditions, surgical history, medication conditions, allergy history, etc., for evaluating your adaptability to the Project and ensuring personal safety;
  • Project collected information: brain electrical signals, neurophysiological data, etc., for technical debugging, research and technical improvement of the Project (all encrypted).

 

3. Use of Personal Information

The personal information we collect is only used for matters related to the Project, specifically including: evaluating your adaptability to the Project, carrying out project implementation and follow-up visits, ensuring personal safety, and optimizing project technologies. It will not be used for any purposes unrelated to the Project. Without your written consent, we will not use your personal information for other purposes.

 

4. Storage and Protection of Personal Information

We will encrypt and store your personal information (especially sensitive information such as EEG signals and neural data), strictly restrict access permissions, and only authorized research personnel to view it to fully prevent information leakage and tampering. The information storage period is the shortest time required by the Project. After the Project ends, it will be securely deleted or anonymized in accordance with regulations without random retention.

 

5. Your Rights

You have the right to inquire, correct and supplement your personal information, and you also have the right to withdraw your consent for the use of personal information. If you have relevant demands, you can contact our staff for handling, and we will cooperate with you in a timely manner.

 

6. Other Instructions

This Policy may be revised according to the update of laws and regulations or project adjustments. We will notify you in a timely manner after revision, and the revised version shall prevail upon entry into force. If you have any questions about this Policy, you can contact us for consultation.

Applicant Basic Information

Last Name
First Name
Applicant Gender
Applicant Age
Relationship to the Patient
Education Level
Applicant Primary Contact Number
City of Residence
Have you been diagnosed with cervical spinal cord injury?
Has your cervical spinal cord injury lasted more than 1 year?
Current motor function of limbs?
Can you perform wrist rotation, even with minimal movement?
Can your hand touch your mouth?
Can your hand touch the top and back of your head?
Has your motor dysfunction remained stable with no obvious improvement or deterioration in the past 6 months?
Do you consent to being contacted via telephone?
Is your speech difficulty caused by any of the following conditions?
If your speech difficulties are due to a stroke, did the stroke occur more than 1 year ago?
Do others often have difficulty understanding you? (Even with simple sentences, people cannot understand more than half of what you say.)
Is it relatively easy and effortless for you to produce vocal sounds?
Can you understand what other people say?
Can you clearly see the computer screen and hear the audio?
Can you read Chinese characters and know how they are pronounced?
Are we allowed to contact you by phone?
Are all of your limbs unable to move normally?(If no, please specify whether it is the upper or lower limbs that are affected.)
Do you have difficulty speaking?
What is the cause of the above-mentioned mobility and speech difficulties?
How long ago did this condition onset?
Do others often have difficulty understanding what you say?(Even when speaking simple sentences, others cannot understand more than half of what you say.)
Is it relatively easy and not effortful for you to produce vocal sounds with your mouth?
Can you understand what others say to you?
Can you clearly see the computer screen and clearly hear the computer audio?
Can you read Chinese characters and know their pronunciations?
Are we allowed to contact you by phone?

Please confirm the information you filled in

Applicant Basic Information

The applicant's issues

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