Moon Runners AlterG Research Questionnaire
** Pending Ethics Approval **
Any information provided in this questionnaire will remain confidential and be seen only by the research investigators. Any information provided will be de-identified and may be included as part of future research publications.
What is your surname?
What is your given name(s)?
What is your DOB?
** Depending on your Google Location Settings, the date is either MONTH / DAY / YEAR or DAY / MONTH / YEAR **
What is your occupation?
Who initially referred you to use the AlterG?
Sport & Exercise Physician
What is your referrer's name?
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