Which of these best describes your experience of DCM?
Country of residence
I would like to to be acknowledged as a contributor to RECODE-DCM on any published material:
After completing ALL rounds of the online survey, I would be interested in being contacted about attending the RECODE-DCM international face-to-face consensus meetings:
I confirm that I have read the Conflict of Interest Information Sheet and hereby declare any conflicts of interest I may hold (e.g. competing professional or financial interests, or any other factor that may influence my responses):
I confirm that I have read the Participant Information Sheet including details of the management of my personal data and risks/benefits. I have had the opportunity to consider the information and ask any questions I may have. I understand that my participation is voluntary and that I am free to withdraw at any time without giving any reason, without my medical care or legal rights being affected. I hereby consent to be a RECODE-DCM study participant:
For more information, please see our study website: www.recode-dcm.com
If you have any questions or concerns, please contact us via email: firstname.lastname@example.orgIf you are upset or concerned following completion of the survey, support is available from our charity partner:www.myelopathy.org