Illawarra Institute for Mental Health

Registration Form – Tell us your STORI!

Please read the information on the Psychological Recovery page before submitting the form.

Use of the STORI is permitted provided no profit is made and the authors are acknowledged.

It is a condition of downloading the STORI that you complete this registration form. This will enable us to keep a profile of STORI users. It also grants us permission to contact you regarding your use of the measure. This will help us in further development and refinement of the STORI.

The information you provide will not be used for any other purpose. Completion of this registration form is not legally binding on you.

Fields with asterisks must be completed.

Title
Given Name*
Family Name*
Email Address*
Institution*
Department
Street Address 1
Street Address 2
City*
Postal Code
Country*
Language Version
Proposed use of STORI (you may select more than one)*:
Clinical Research Literature Review Translation

Please briefly describe your proposed use of the STORI (e.g. population group, type of research, etc)*

NOTE:Please do not use this section if you would like a reply. We would welcome your questions or comments at: iiMH@uow.edu.au
I agree that the authors may contact me regarding my use of the STORI .

 

Last reviewed: 2 June, 2011