Services Portal - STAGE-28

Informed Consent

This project has been inspired by Andy Pike to bring scientific evidence to the work he does and to which you have been asked to contribute. Its quality depends on your willing and honest participation so data will be stored on STAGE-28’s encrypted servers where your information cannot be identified. It should take no more than 10 minutes for you to complete and only the administrators at STAGE-28 have access to your scores. An e-mail with your scores will arrive after you click ‘Submit’ at the end of the portal. If you change your mind at any time let Andy know and ask to have your data deleted. Click the link for the downloadable Participant Information Sheet. Download here.

Please tick this box to say you give your consent. *

Please tick this box to say you give your consent.

Email address: *

Code/ID: *

Two initials plus 4-digit birthday and month For example: for Joe Smith born 24/08/77 enter: ‘JS2408’

Sex: *

Male

Female

Other (type in the box if you wish)

Type here:

Age: *

Current status: *

Married/De Facto

Single

Separated/Divorced

Other (type in the box if you wish)

Type here:

Additional status information

Main Deployments

In general, how has life been for you?

How has the last two weeks been for you?

Please read the following questions carefully and answer by clicking on the appropriate radio-button. Anything you would like to tell us you can type here, or at the end.