Country of residence
Hospital and/or university affiliation
On average, how many people with DCM do you encounter every year as part of your clinical practice?
Do you plan on attending the Cervical Spine Research Society Annual Meeting in New York, 21st – 23rd November 2019?
I would like to to be acknowledged as a contributor to RECODE-DCM on any published material:
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: www.recode-dcm.com
If you have any questions or concerns, please contact us via email: email@example.comIf you are upset or concerned following completion of the survey, support is available from our charity partner:www.myelopathy.org