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Welcome to Arthritis Assist

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1.Please enter your first name(Required.)
Thanks for registering to speak with an Arthritis Assist Peer-Mentor! Please answer a few questions to tell us a little bit about yourself and why you'd like to speak with a Peer-Mentor. This helps us to match you with one of our volunteers as best we can!

The questionnaire may take around 10 minutes to complete.

By completing this survey, you consent to your responses being shared with the Peer-Mentor you will be matched with for the purposes of providing peer support. You also accept the terms of our Privacy Policy.
2.Please enter your surname(Required.)
3.What is your postcode?(Required.)
4.What gender do you identify as?
5.In what year were you born? (enter 4-digit birth year; for example, 1976)
6.Do you identify as Aboriginal or Torres Strait Islander?
7.How did you hear about this service?(Required.)
8.Please enter the phone number you would like a Peer-Mentor to call you on(Required.)
9.Please enter the email address you'd like us to communicate with you on