Health for Life in Singapore (HELIOS) - SG100K Research Study (Outreach)
Our population study aims to identify environmental, lifestyle and genetic factors that cause heart disease, diabetes, cancer and other chronic diseases in Singapore.
This study is open to Singaporeans/Permanent Residents aged between 21-84 years old who wish to help improve healthcare now and the future generations.
To find out more about our study, you may visit the following:
HELIOS-SG100K website: https://www.healthforlife.sg/
HELIOS-SG100K link tree page: https://linktr.ee/heliossg100k
Email: helios@ntu.edu.sg
Phone: 65 6904 7077 / 9728 7761
Our study centre is located at NTU Lee Kong Chian School of Medicine, 11 Mandalay Road, Clinical Sciences Building, Level 18, Singapore 308232 (next to NCID and TTSH).
This study is open to Singaporeans/Permanent Residents aged between 21-84 years old who wish to help improve healthcare now and the future generations.
To find out more about our study, you may visit the following:
HELIOS-SG100K website: https://www.healthforlife.sg/
HELIOS-SG100K link tree page: https://linktr.ee/heliossg100k
Email: helios@ntu.edu.sg
Phone: 65 6904 7077 / 9728 7761
Our study centre is located at NTU Lee Kong Chian School of Medicine, 11 Mandalay Road, Clinical Sciences Building, Level 18, Singapore 308232 (next to NCID and TTSH).
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When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.
Required
Personal Particulars
* We are asking for your personal data to enable us to make an appointment for you in the HELIOS-SG100K Study at NTU LKCMedicine. The data provided here will only be used for this purpose, and will not be used for any other purpose without your consent. Personal data collected is in accordance with the Personal Data Protection (PDPA) Act 2012.
1.Full Name (as per NRIC)
2.Full NRIC Number (example: S1234567E)
3.Gender
4.Date of Birth (DD/MM/YYYY)
5.Phone Number
6.Email Address
7.Home Unit Number
8.Home Postal Code
9.Race (as per NRIC)
10.Preferred Language (written & spoken)
11.Are you currently pregnant / breastfeeding?
12.Any major injury/surgery/ hospitalization within the past 1 month?
13.How did you know about our HELIOS-SG100K Study?
(If you know about the study through a roadshow event, indicate the name/location of the event under "Other")
(If you know about the study through a roadshow event, indicate the name/location of the event under "Other")
14.Name of organisation that you are working for
You can print a copy of your answer after you submit
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