Research Enquiry

About yourself

Select Title Mr Mrs Ms Dr

About your project

Title of Research project*

Type of Research*

Clinical Trial Patient experience research Consumer perspectives research Consumer involvment in committee Student Project Other

At which stage of your project are you seeking input from Kidney Health Australia?

Feedback / input on planning / Study design Demonstrating consumer involvement on grant applications Implementation of project Promotion of research / survey to consumers via our social media & consumer networks

Please provide a brief description of your research project*

How does your research relate to people with kidney disease?*

Does your research project have ethics approval?*

Yes Pending No Not Required

Are you looking for paid or in-kind support from Kidney Health Australia?

Yes No

What is the time commitment and/or frequency required for consumers?*

Select Once-off Monthly Quaterly Annually Other

Would consumers be reimbursed for their time or are you seeking in kind support?*

Select Paid for involvement Incentive / voucher for participation Expenses covered Volunteers

How will working with Kidney Health Australia benefit your research?

How will working with you benefit Kidney Health Australia / people with kidney disease?

How do you intend to keep KHA/consumers informed of the outcomes of your research project?

How long do you want your listing displayed on our website?*

This research is appropriate for: Who are you looking for?*

Select Person with early stage kidney disease Person on dialysis / transplant Family / carer Health professional Other

Contact details for enquiry*
(please note this will be published on our website so consumers can contact you)

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