Request permission to use the Stroke Riskometer for your study

If you would like to conduct a basic study or a clinical trial based on the Stroke Riskometer app, please complete and submit the following details. Your contact details will not be shared with any third party.

Permission to use the Stroke Riskometer for your study will provide you with:

- Opportunity to ask for advice on your research and best practices of for using the Stroke Riskometer app for research
- Opportunity to raise the number of citations of your publication of the study results, by colleagues working in the field of stroke epidemiology and prevention

NOTE: If you use the Stroke Riskometer data or app in your research you must acknowledge this in any relevant publications or presentations. Please use the following wording: "We acknowledge the use of Stroke Riskometer data /the Stroke Riskometer app in this study. The Stroke Riskometer app was developed by and is copyrighted by Auckland University of Technology, Auckland, New Zealand”.

Once you have submitted this form, we will send you written permission along with further information regarding the use of the Stroke Riskometer data.

First name *

Last name *

E-mail address *

Confirm E-mail address *

Position *

Institution *

Country

Phone number

Title of project *

Type of intervention *

Study design * Study type, number of participants, start and end date, funder

Location *

Status * e.g. Awaiting funding approval, underway, recruiting, completed, etc.

Description of study * No more than 25 words

Phase If applicable

Outcome measures *

Eligibility criteria *

Exclusion criteria *

Keywords

I agree to share the results of the study with you when it is completed

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