If you are not currently a member of the PHD Network, please fill out the form below. After completing the Personal Health Assessment, you will be offered a subscription to the PHD Network. Participation in this survey does not obligate you to become a PHD Network Member.

Confidentiality -- The results of this survey are confidential. Some of this information may be used by Duke University for research purposes into health trends and issues. However, no information that identifies you personally will be shared with them, or any other entity, without your specific permission. Additionally, if you are a member of a sponsoring organization, your sponsor may receive reports that describe the aggregate health issues of your group. Again, no one, including your sponsor, will receive any personally identifying health information specific to you without your prior consent.

Limitations -- Please keep in mind that the usefulness of this survey is directly related to your ability and willingness to provide accurate information. Since there are many different factors now known to be potential risk factors for certain kinds of diseases and health conditions, a lot of different kinds of information must be obtained. We encourage you to answer each question as accurately as possible. Additionally, the findings resulting from this survey are for personal educational purposes and are not intended to replace a medical evaluation from your physician.

Your Password can be any combination of numbers and letters you select. It must have at least four, and no more than six characters total (no symbols or punctuation marks allowed.) Please write it down in a secure place in case you forget it.

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