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    1. I am a:
      ScientistHealthcare ProfessionalClinician/ScientistOther:
    2. I am at this stage of my career:
      Student/trainee0-5 years; (since completing professional/graduate degree)6-12 years;12-20 years20+ years
    3. The following information will help tailor specific communication with you regarding opportunities that may arrive outside of scheduled seed grant call, both funding as well as others such as education, research focus group meetings and KT initiatives.

    4. If you indicated Scientist or Clinician/Scientist, please specify all research area of focus that apply. If you indicated Healthcare Professional, please go to question 5.
      BiomarkersCardiac Involvement in Neuromuscular DiseasesCell-Based Modeling & ScreeningCognitive and Behavioral Aspects of Neuromuscular DiseasesDNA & RNA Repeat DiseasesEpidemiology and Natural History StudiesGene targeting therapy including gene transfer, antisense oligonucleotides and gene editingGenetic DiagnosisIn vivo ModelsInflammation, Immune MechanismsMetabolic disturbances in neuromuscular diseasesNewborn ScreeningNuclear MembraneOutcome Measures for Neuromuscular DiseasesProtein HomeostasisRegeneration & RepairRespiratory Involvement in Neuromuscular DiseasesTechnology in HealthcareTissue BioengineeringOther
    5. If you indicated other, please specify:
    6. If you are a Health Care Professional or Clinician/Scientist, please indicate your specialization. Please select all that apply;
      CardiologistChiropodistChiropractorEndocrinologistErgotherapistFamily Physician/General practitionerGenetic CounsellorGeneticistMaternal and newborn health practitionersNeurologistNurse (RN)NutritionistOccupational TherapistOrthoticsPodiatristPediatricianPsychiatrist/ Psychologist/ Mental Health Nurse PractitionerPhysiatristPhysiotherapist (PT)RespirologistRheumatologistSocial WorkerSpeech Language Therapist (SLT)Other
    7. If you indicated other, please specify:
    8. If you are a Health Care Professional or Clinician/Scientist, please if you specialize in;
      Adult CarePediatric CareBoth
    9. Please indicate your Research or Clinical area of focus (click all that apply)
      All, Neuromuscular DisordersCongenital Muscular DystrophiesCongenital Myasthenic SyndromesCongenital MyopathiesDuchenne/Becker Muscular DystrophiesEmery-Dreifuss Muscular DystrophyFacioscapulohumeral muscular dystrophyHereditary AtaxiasHereditary Motor Sensory Neuropathies/Charcot-Marie-Tooth DiseaseIon Channel muscle diseasesLimb Girdle Muscular DystrophiesMetabolic myopathiesMyotonic DystrophyOcculopharyngeal Muscular DystrophySpinal Muscular Atrophy and Motor neuron diseasesOther
    10. If you selected other above, please describe:
    11. Would you be interested in contributing your expertise to Knowledge translation/education initiatives i.e. written, oral presentations, webinar for the NMD patient community?
      YesNo
    12. Would you like MDC to contact you about fundraising opportunities; i.e. Walk for Muscular Dystrophy, Galas?
      YesNo

    [NEED API KEYS]