LWIH Attendee Information
It is a requirement that all individuals attending LWIH support groups complete this document to ensure all attendees have agreed to the guidelines
(you will only need to do this once).
This form is for Hypersomnolence Australia's reference only.
Where do you live?
How old are you?
Do you have a diagnosis of Idiopathic Hypersomnia?
In order to attend a LWIH support group you are required to have a diagnosis of IH. Any exceptions will be at the discretion of the facilitators.
I am a parent of a minor (under 18yrs) child diagnosed with idiopathic hypersomnia
I am a parent of an adult (over 18yrs) child diagnosed with idiopathic hypersomnia
Do you foresee a challenge with showing your video during the LWIH support meetings?
It is a requirement of LWIH support meetings that your video is displayed at all times. Please contact facilitators if this is a concern.
Have you read the 'information and guidelines for attendees' document and do you agree to follow these guidelines?
Are you interested in receiving information and material regarding our support group meetings?
How did you hear about LWIH support groups?
Hypersomnolence Australia or Idiopathic Hypersomnia Awareness Week Facebook/Twitter/Instagram page
Hypersomnolence Australia Website
Email from Hypersomnolence Australia
Post in one of the Idiopathic Hypersomnia Facebook Groups
Other source on social media
Friends and Family
Do you have any concerns or questions about attending LWIH support groups?
Send me a copy of my responses.
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This form was created inside of Hypersomnolence Australia.