win cd / dvd

Tell us about yourself and win a CD/DVD of the hottest new West Australian music.

First Name:
Surname:
Gender:	Male Female
Age:	8 - 14 15 - 18 19 - 25 26 - 34 35 - 44 44 and over
Address:
Suburb:
Postcode:
State:
Email:
Confirm Email:

Q1. Name your favourite musician or band?

Q2. What makes you feel good about yourself?

Q3. How would you help a friend who is feeling down, acting stressed or talking about hurting themselves?

Q4. Are you interested in studying or working in mental health?

Q5. How did you hear about Music Feedback?

If select Other: please specify
Q6. Any suggestions on how to improve the Music Feedback website?

Q7. Any tips on how to promote good mental health to the community?


Do you want to receive further information from Music Feedback? Yes

Your privacy:

The purposes for which we collect your personal information when you register or email us are:
administering the website, sending you the CD/DVD, contacting you about study and career opportunities in mental health, keeping in touch with you, and evaluating the anti-stigma campaign.
Don't worry, we won't sell your contact details to marketing companies for spamming!
Any disputes will be dealt with under the laws of Perth, Australia.