The ACTA Find A Health Economist (FAHE) directory is a contact list of senior Australian health economists with expertise in economic evaluation alongside randomised trials. Please fill in the below quesionnaire and the chairs of the ACTA Health Economics Alongside Trials Special Interest Group (HEAT SIG) will assess your application and inform you of the outcome.

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* 1. Salutation

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* 2. First Name

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* 3. Last Name

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* 4. What is your current position?

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* 5. Employer

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* 6. State

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* 7. Email Address

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* 8. I am interested in

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* 9. If interested in joining ACTA HEAT SIG, what is your main purpose for involvement?

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* 10. What is your highest qualification?

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* 11. What was the year of award? (if appropriate)

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* 12. Methodological areas of expertise - please tick all that apply

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* 13. Please note the three main areas of your health economics/clinical trial expertise from the list above that you would like highlighted on your profile

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* 14. Please nominate the clinical area/s in which you have the greatest expertise? (e.g. neurology, intensive care, ageing etc)

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* 15. Please indicate the number of health economic analyses you have undertaken

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* 16. Please provide citations with weblinks to the doi or URL for up to 3 relevant publications showing your leadership in health economic evaluation using trials data

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* 17. Would you be willing to be contacted by another health economist or potential collaborator, and do you acknowledge that your email address will be publicly available on the website?

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