Registration Details from Round 1

If details are correct, please scroll to the bottom of the page to click through to the next page.

Training specialty

Job title

(including grade)

Hospital and/or university affiliation

Biological sex


Country of residence

On average, how many people with DCM do you encounter every year as part of your clinical practice?

For how many years have you managed people with DCM?:

Do you plan on attending the Cervical Spine Research Society Annual Meeting in New York, 21st 23rd November 2019?

You have been randomized to answer questions on research priorities. There is an option to complete this survey anonymously. Please be aware, in order to be acknowledged on published material and invited to the consensus meeting, a name and email contact are required.

First Name

Last Name

Preferred email address

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 meeting:

I would like to be contacted about other DCM research:

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 legal rights being affected. I hereby consent to be a RECODE-DCM study participant:

For more information, please see our study website:

If you have any questions or concerns, please contact us via email:

If you are upset or concerned following completion of the survey, support is available from our charity partner:

Please click on the red arrow to go back to the first page:

Chat To Do
Powered by Calibrum