Support Group Attendee Information
Living with narcolepsy support group meetings are open to people with narcolepsy living in Australia. To join our meetings we ask all attendees to fill in this form and to read our group guidelines https://bit.ly/2LxobqW 
Please note you will only need to do this once, prior to your first meeting.
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Where do you live? *
How old are you?
Do you have a Narcolepsy diagnosis? *
In order to attend a Living with Narcolepsy support meeting you are required to have a diagnosis of Narcolepsy. Any exceptions will be at the discretion of the facilitators.
Have you read the 'information and guidelines for attendees' document and do you agree to follow these guidelines? A link to this document can be found at the top of this form. *
Are you interested in receiving information (including invitations) regarding our support group meetings? *
How did you hear about Living with Narcolepsy support groups? *
Do you have any concerns or questions about attending Living with Narcolepsy support groups?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sleep Disorders Australia. Report Abuse
Google Forms