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Step 2) Member Registration

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The following membership questionnaire is designed to collect information on all ISCMR members to store in a secure, searchable member database. The database is searchable by country, role (e.g., researcher, clinician, educator, student) research expertise and type of research and is designed to facilitate networking and contacts between ISCMR members with similar interests and/or geographic locations.

Please note that you may return at any time to update the information you provide. You may also choose to complete any non-mandatory questions at a later time, if you do not have time to do so right now.

* are mandatory fields

1.	Given Name:*
2.	Surname:*
3.	Phone: include Country Code
4.	Fax:
5.	Address:*
6.	City:*
7.	Province/State:*
8.	Postal Code/Zip Code:*
9.	Country:*
10.	Email:*
11.	Affiliation:*
12.	Job Title: e.g. professor, physician, naturopath
13.	Qualifications: e.g. MA, MD, PhD

14. From the following list identify at most FOUR research methods of investigation that best describe your research expertise?*
qualitative research
laboratory investigations/basic science research
observational research (outcomes research, surveys, clinical audit, surveillance)
epidemiological methods (case-control studies, cohort studies)
quasi experimental designs (non-equivalent groups, time series)
clinical research (pre-clinical, randomized controlled trials)
systematic reviews, meta-analysis
combined methods research
translational research
methodological development
health economics
health services and policy research
other, please specify

15. What is your primary role?*
academic researcher
administrator
clinician
educator
policy advisor or analyst
research staff
undergraduate student
(post) graduate student
other, please specify

16. From the following list, please identify at most SIX areas which best describe your specific research interests. Please note the options have been grouped into three main categories. Your 6 choices may be in different categories, or all in the same general category.

CAM Therapies
CAM therapies in general
Acupressure
Acupuncture
Alexander Technique
Aromatherapy
Ayurvedic medicine
Bioelectromagnetic therapies
Chiropractic
Diet and nutrition
Energy Healing/Therapeutic touch
Flower Essences (e.g. Bach)
Guided Imagery/Relaxation therapy
Herbal Medicine
Homeopathy
Hypnotherapy
Massage therapy
Mind body therapies
Natural health products
Naturopathy
Osteopathy
Orthomolecular medicine
Prayer
Reflexology
Spirituality/religiosity
Tai Chi
Traditional Chinese Medicine
Yoga
Other,

(Medical) Condition Classifications
Cardiovascular disorders
Chronic illness in general
Dental and oral disorders
Dermatological disorders
Ear, nose and throat disorders
Endocrine and metabolic disorders
Gastrointestinal disorders
Genitourinary disorders
Hepatic and biliary disorders
Immunological disorders
Musculoskeletal disorders
Neurological disorders
Nutritional disorders
Obstetric/gynecological disorders
Oncological/hematological disorders
Ophthalmologic disorders
Pediatric disorders
Psychiatric disorders
Pulmonary disorders
Other,

Populations
Men
Women
Pediatric
Geriatric
Pregnant
Ethnic Groups
Other,

17. Do you agree to have your information posted on ISCMR�s secure membership database? Your information will only be accessible by ISCMR members to facilitate networking between individuals interested in CAM. We will never distribute your information to other groups or organizations.*
YesNo