Questionnaires

Register

Please complete the registration form for access to the calculators.

Email

Please enter a valid email address.

First Name

First Name is required.

Last Name

Last Name is required.

Institution / Company

Institution / Company is required

Primary Role

Please select your role

City

City required

Country

Country required

Password

Please enter a password.

Confirm password

Enter the same password to confirm.

Purpose of use of COM website, calculators and training/quality assurance resources

Non-commercial use (e.g. healthcare, investigator-initiated research studies, student projects)

Commercial use (e.g. sponsored trials)

Purpose of use required

Would you like access to the Charcot-Marie-Tooth disease Functional Outcome Measure (CMT-FOM) calculator?

Yes

No

I acknowledge there are training and resource requirements that I need to review in order to reliably administer the test items.

You must agree to the training and resource requirements