Are you an Australian citizen or permanent resident and aged between 18 and 40 years old? *

Yes

This field is required.

Unfortunately, you are ineligible for the DNA Screen study. To participate, you must be an Australian citizen or permanent resident, and be aged 18-40.

Have you ever had a genetic test for the following conditions and received a positive result (i.e. a high-risk variant was found)? *

Hereditary breast and ovarian cancer i
Lynch syndrome i
Familial hypercholesterolaemia (genetic high cholesterol) i

i

This results in a high risk during a person's life for breast and ovarian cancer in women and prostate cancer in men.
i

This results in a high risk during a person's life high for bowel (colorectal) cancer in both men and women, and endometrial cancer (lining of the uterus) and ovarian cancer in women.
i

This results in an increased risk during a person's life for heart disease or stroke due to high cholesterol from an early age.
Hereditary breast and ovarian cancer i
Lynch syndrome i
Familial hypercholesterolaemia (genetic high cholesterol) i

Yes

This field is required.

Unfortunately, you are ineligible for the DNA Screen study. To participate, you must not have received a prior positive test result (i.e. a finding of a high-risk DNA variant) for any of the three above conditions.

By submitting this form you consent to the collection of personal and health information to confirm your eligibility to participate in the DNA Screen study. If you are selected for the study, we will ask you to complete an electronic consent form. For further details about the consent form and participation in the study, please refer to the Participant Information Sheet.

Monash University values the privacy of every individual’s personal information and is committed to the protection of that information from unauthorised use and disclosure except where permitted by law. For more information about Data Protection and Privacy at Monash University please see our Data Protection and Privacy Procedure.

Personal Details

First name *

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Family name *

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Postcode *

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Please enter a valid postcode

Date of birth *

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Please enter a valid date of birth

Unfortunately, you are ineligible for the DNA Screen study. To participate, you must be aged 18-40.

Sex *

This field is required.

Country of birth *

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Language spoken at home *

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Do you identify as Aboriginal and/or Torres Strait Islander? *

Yes

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Contact Details

Email *

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Please enter a valid email address.

Confirm email *

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Email address does not match.

Mobile phone number *

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Please enter a valid Australian mobile phone number.

Confirm mobile phone number *

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Mobile phone numbers do not match.

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Thank you for registering your interest in the DNA Screen study

We will contact you by email and SMS in the coming weeks if you are selected to participate in the study. Because this study is limited to 10,000 participants, it is possible that not everyone who registers their interest will be selected.

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Frequently Asked Questions

About DNA Screen