Please complete the form below to register for the one-day meeting of researchers using EQ-5D. The meeting will be held on 20 February 2025 at Conway Hall in London.
We will confirm your place and provide further details following registration.

Question Title

* 1. Full name:

Question Title

* 2. Title:

Question Title

* 3. Organisation:

Question Title

* 4. Email address:

Question Title

* 5. Do any of the following apply to you? (Check all that apply)

Question Title

* 6. Do you require standard travel and/or accommodation in order to attend the meeting?

Question Title

* 7. Do you have any dietary requirements?

Question Title

* 8. Do you have any access or special assistance requirements?

Question Title

* 9. Please provide the name of an emergency contact:

Question Title

* 10. Contact number for emergency contact:

Question Title

* 11. Please check 'agree' to confirm that you consent to us keeping a record of your details for the purpose of the meeting organisation. Your details will be deleted 2 months following the meeting to allow for reimbursement of travel expenses.

T