Home
About
Survey
Data
Contact
Home
About
Survey
Data
Contact
DIY user information form
We are interested in how RHoMIS is being used and ask you to please complete all of the required fields and submit the form. This will take you to a new page where you can download the DIY user pack to begin creating your own survey.
Your information will be kept private. It will not be shared with anyone.
*
Indicates required field
Name
*
First
Last
Email
*
Organisation
*
if relevant
Organisation type
*
Humanitarian (NGO)
Scientific (Research)
Other
Survey country/countries
*
Anticipated number of households
*
What month and year do you hope to implement your survey?
*
Please share a little about your research focus and objectives
*
Would you like to contribute your data to the RHoMIS central database?
*
Yes
No
Not sure (need more information)
Where did you hear about RHoMIS?
*
Websearch (Google etc)
Scientific journal
Blog article
Word of mouth/event
Other
Can we contact you for further information?
*
Yes
No
Submit
