Please complete this form if you are interested in participating in our project and you are:

– a woman who has been diagnosed with early menopause, aged 45 or under (or if over 45 you experienced EM in the last 5-10 years), and living in Victoria, OR

– a health professional working with women with early menopause.

We will then contact you to find out a bit more about you, and send you some more detailed information about what participating in the project involves.

We look forward to hearing from you!