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Participant Information   About You   Health Questionnaire

Join Us is a national research register for people aged 18 years or over who are interested in being contacted about taking part in health and medical research.

To sign up to the register you need to provide your name and contact details and complete a brief health survey. This information will be used to match you to research projects and you may receive up to eight email invitations to participate in research projects each year.

More information about how the Join Us research register is managed and how your personal and health details are stored and used can be found in our FAQs. Registration is completely voluntary and you can opt-out from the register at any time by withdrawing from the register online or by emailing or calling the Join Us team.

Before you start, please read the following information:

JoinUs Research Registration Consent

  • I understand that I am being asked to provide consent to participate in the Join Us register.
  • I understand the information I provide will be stored and used to match me to research projects and that I may be contacted about participating in research projects I have been matched to.
  • I understand that if I am invited to participate in a research project, it is up to me to decide whether I want to participate.
  • I understand that my information could be held indefinitely unless I withdraw from the Join Us register and ask for it to be removed.
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✓ Participant Information   About You   Health Questionnaire
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Invalid Date of Birth - Please ensure it is in the form DD/MM/YYYY

Invalid Date of Birth - You must be over 18 years old















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The privacy and security of your personal information is important to us and is protected by law. We need to collect this information so we can process and manage your applications and provide services to you. We only share your information with other parties where you have agreed, or where the law allows or requires it.


For more information, go to servicesaustralia.gov.au/privacy.


For more information about Join Us’ Privacy Policy, visit our website.

You must be over 18 years old

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✓ Participant Information   ✓ About You   Health Questionnaire

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*
 are required.


Has a doctor ever diagnosed you with or have you been treated for any of the following health conditions?
Bones and Joints Conditions
Brain and Nerve Conditions
Cancer
Chest and Lungs
Conditions Affecting the Eyes and Ears
Cardiovascular Conditions
Liver and Kidney Disease
Mental Health
Conditions Affecting Sleep
Pregnancy and Woman's Health
Any other medical conditions you would like us to note?
This is the end of the health survey and your registration with the Join Us Research Register.