Warning: Use of undefined constant navn - assumed 'navn' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 238 Warning: Use of undefined constant email - assumed 'email' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 240 Warning: Use of undefined constant adresse - assumed 'adresse' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 244 Warning: Use of undefined constant tlf - assumed 'tlf' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 246 Warning: Use of undefined constant by - assumed 'by' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 250 Warning: Use of undefined constant by2 - assumed 'by2' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 256 Warning: Use of undefined constant dato - assumed 'dato' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 286 Warning: Use of undefined constant height - assumed 'height' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 292 Warning: Use of undefined constant weight - assumed 'weight' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 298 Warning: Use of undefined constant sex - assumed 'sex' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 304 Warning: Use of undefined constant dbop - assumed 'dbop' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 304 Warning: Use of undefined constant nej - assumed 'nej' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 185 Warning: Use of undefined constant mand - assumed 'mand' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 185 Warning: Use of undefined constant sex - assumed 'sex' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 305 Warning: Use of undefined constant dbop - assumed 'dbop' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 305 Warning: Use of undefined constant nej - assumed 'nej' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 185 Warning: Use of undefined constant mand - assumed 'mand' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 185 Warning: Use of undefined constant unger - assumed 'unger' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 313 Warning: Use of undefined constant smoke1 - assumed 'smoke1' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 320 Warning: Use of undefined constant alkohol - assumed 'alkohol' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 330 Warning: Use of undefined constant rusmidler - assumed 'rusmidler' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 333 Warning: Use of undefined constant medicin - assumed 'medicin' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 339 Warning: Use of undefined constant motion - assumed 'motion' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 352 Warning: Use of undefined constant allergi - assumed 'allergi' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 380 Warning: Use of undefined constant typeallergi - assumed 'typeallergi' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 381 Warning: Use of undefined constant oto1 - assumed 'oto1' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 387 Warning: Use of undefined constant oto - assumed 'oto' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 389 Warning: Use of undefined constant eye1 - assumed 'eye1' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 394 Warning: Use of undefined constant eye - assumed 'eye' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 396 Warning: Use of undefined constant hud1 - assumed 'hud1' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 401 Warning: Use of undefined constant hud - assumed 'hud' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 403 Warning: Use of undefined constant hjerte1 - assumed 'hjerte1' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 410 Warning: Use of undefined constant hjerte - assumed 'hjerte' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 412 Warning: Use of undefined constant mavetarm1 - assumed 'mavetarm1' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 417 Warning: Use of undefined constant mavetarm - assumed 'mavetarm' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 419 Warning: Use of undefined constant hjerne1 - assumed 'hjerne1' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 424 Warning: Use of undefined constant hjerne - assumed 'hjerne' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 426 Warning: Use of undefined constant knogle1 - assumed 'knogle1' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 431 Warning: Use of undefined constant knogle - assumed 'knogle' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 433 Warning: Use of undefined constant nyre1 - assumed 'nyre1' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 439 Warning: Use of undefined constant nyre - assumed 'nyre' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 442 Warning: Use of undefined constant hormon1 - assumed 'hormon1' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 449 Warning: Use of undefined constant hormon - assumed 'hormon' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 452 Warning: Use of undefined constant psykisk1 - assumed 'psykisk1' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 458 Warning: Use of undefined constant psykisk - assumed 'psykisk' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 461 Warning: Use of undefined constant cancer1 - assumed 'cancer1' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 467 Warning: Use of undefined constant cancer - assumed 'cancer' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 470 Warning: Use of undefined constant andre - assumed 'andre' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 476 Warning: Use of undefined constant laegemidler - assumed 'laegemidler' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 494 Warning: Use of undefined constant dbop - assumed 'dbop' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 494 Warning: Use of undefined constant naale - assumed 'naale' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 495 Warning: Use of undefined constant dbop - assumed 'dbop' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 495 Warning: Use of undefined constant biopsier - assumed 'biopsier' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 496 Warning: Use of undefined constant dbop - assumed 'dbop' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 496 Warning: Use of undefined constant andref - assumed 'andref' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 497 Warning: Use of undefined constant betingelser - assumed 'betingelser' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 501 Warning: Use of undefined constant dbop - assumed 'dbop' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 501 Warning: Use of undefined constant dbop - assumed 'dbop' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 511 Warning: Use of undefined constant dbop - assumed 'dbop' (this will throw an Error in a future version of PHP) in /customers/1/1/0/forsoegsperson.dk/httpd.www/database.php on line 613 DATABASE

Tilmelding til databasen


Udfyld venligst nedenstående felter med din information. Det er vigtigt, at du læser vores betingelser, inden du tager endelig stilling til, om du vil oprette din profil. Du kan til hver en tid, efter du har oprettet din profil, selv gå ind og slette den igen ved hjælp af din email og dit kodeord. Yderligere anbefales det at du læser den information, som den centrale videnskabsetiske komité har skrevet til forsøgspersoner. Nederst på siden kan du angive, om der er forsøg du ikke vil deltage i. Hvis du har spørgsmål eller kommentarer så send venligst en mail til database@forsoegsperson.dk.

Vi skal til slut bede dig om at udfylde felterne så korrekt og så ærligt som overhoved muligt. Hvis du lader et felt stå tomt betyder det 0 eller ingen. Det er afgørende for databasens brugbarhed, at alle data er fuldstændig sande.

På forhånd mange tak.

       
Navn*: Email*:
Adresse*: Tlf nummer*:
Postnummer*:
By*:    
       
Personligt kodeord (min. 6 tegn, både bogstaver og tal)*:   Felter markerede med * skal udfyldes.
Gentag kodeord*:    
       
Fødselsdato (dd-mm-åååå)*:    
Højde (cm)*:    
Vægt (kg)*:    
Køn: kvinde mand    
Antal børn inklusiv igangværende graviditet:    
Hvor mange cigaretter/cigarer/piber tobak ryger du dagligt?
Alkoholforbrug (antal genstande ugentlig): Andre rusmidler:
Hvilken medicin får du regelmæssigt? Alle typer inklusiv p-piller
       
Antal hele timer om ugen du dyrker motion (inklusiv transport via cykel) :    
       
       

Eventuelle lidelser og sygdomme

Nuværende sygdomme skrives nedenfor: Tidligere sygdomme skrives nedenfor:
Allergier:
Lidelser i øre, næse eller hals:
Lidelser i øjne:
Hud og kønssygdomme:
Hjerte-kar- eller lungesygdomme: (Inklusiv højt/lavt blodtryk)
Sygdomme i mave-tarmkanalen:
Lidelser i hjerne eller nerver:
Lidelser i knogler eller muskler:
Lidelser i nyre eller urinveje:
Hormonelle forstyrrelser: (inklusiv sukkersyge og forstyrrelser i stofskiftet)
Psykiske sygdomme:
Kræft:
Andre sygdomme?  
     


Jeg vil ikke deltage i forsøg med:
Lægemidler?      Nåle?      Biopsier?      Andre? 


 Jeg har læst og forstået betingelserne.