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.
* Required
Email address
*
Your email
Full Name
*
Your answer
Where do you live?
*
Choose
NSW
Qld
Vic
SA
WA
Tas
NT
ACT
How old are you?
Your answer
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.
Yes
No
I am a parent of a minor (under 18yrs) child diagnosed with narcolepsy
I am a parent of an adult (over 18yrs) child diagnosed with narcolepsy
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.
*
Yes
No
Are you interested in receiving information (including invitations) regarding our support group meetings?
*
Yes
No
How did you hear about Living with Narcolepsy support groups?
*
Sleep Disorders Australia Website
Sleep Disorders Australia Facebook Page
Sleep Disorders Australia Facebook Support Group
Post in a Narcolepsy Facebook Support Group
Sleep Disorders Australia Twitter
Other source on social media
Email from Sleep Disorders Australia
Sleep Disorders Australia member newsletter
Family or friends
Other:
Do you have any concerns or questions about attending Living with Narcolepsy support groups?
Your answer
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