Request for hard copies of the Healthy Ageing Quiz survey

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Thank you for your assistance with distributing and promoting this survey among people aged 50 years or older within your network. Please fill out the form below to receive hard copies of the survey, as well as a flyer/poster that enables the survey to be completed online via a QR code. These can be placed in a waiting room or similar setting.

For further information about this research, please contact Dr Jessica Cecil at j.cecil@nari.edu.au. Alternatively, leave your contact details below and we will be in touch.

This study has been approved by the Austin Health Human Research Ethics Committee HREC/73166/Austin-2021

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If you wish to be contacted for further information about the study, please provide your name and phone number and/or email address

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