Questionnaire | page 1

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Thank you for your interest in the 12th "Düsseldorf Symposium on Decision Neuroscience"! The Symposium will be on Monday, June 26, 2023 at the Haus der Universität in Düsseldorf, Germany.

For more information see our website

Please fill in your personal details.

1. First Name

2. Name

3. Titel (optional)

4. E-mail address

E-mail:
Please approve your email

5. Please repeat your E-mail address

6. Gender

Female

Male

Other

Prefer not to answer

7. Status

Bachelor/Master student

PhD student

Postdoc

Faculty (PI, Assistant/Associate/Full Professor, Chair, Group leader etc.)

Psychotherapy

Medicine (MD, Nursing Care...)

Outside of academia

Other

8. Affiliation

9. Origin/country

10. I would like to attend

in-person

virtually

11. Have you ever attended our symposium?

Yes

Prof. Tobias Kalenscher, Heinrich-Heine-Universität Düsseldorf – 2022