User registration

Please enter your details below and click add user. Be sure to write down your username (a name to login as) and password somewhere safe, as you'll need these to login again in the future.

Username
Password
Re-enter Password
Your e-mail address (An automated email will be sent to your email address confirming your registration details)
Your age category	Please Select... 15 years or under 16-19 years 20-24 years 25-29 years 30-34 years 35-39 years 40-44 years 45-49 years 50-54 years 55-59 years 60-64 years 65-69 years 70-74 years 75+
Gender	Male Female
Which country are you logging in from? We have tried to guess your country. Please correct it if it is wrong.	Please Select... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Asia/Pacific Region Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europe Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakstan Kenya Kiribati Korea Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Satellite Provider Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Unknown Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands Wallis and Futuna Yemen Zambia Zimbabwe
Are you in a city area or in a rural/remote region?	Please Select... Capital City Other city Rural or Remote region
What is the highest level of schooling that you have completed?	Please Select... Some primary All of primary Some secondary Four years of secondary All of secondary
What is the highest level of post-secondary/tertiary education you that you have completed?	Please Select... None Trade/apprenticeship Other certificate Current undergraduate Diploma Bachelors degree Higher degree Other
Have you ever in your life been markedly depressed? (That is for several weeks or more, you felt sad, lost interest in things and felt lacking in energy)	Yes No
Have you used any of the following to help yourself cope with depression? (You may choose more than one)	GP Psychiatrist Psychologist Other mental health professional St John's Wort Anti-depressants Exercise Light therapy Self-help books Electroconvulsive therapy (ECT) Interpersonal therapy None of the above
Have you ever used Cognitive Behaviour Therapy (CBT) to help yourself cope with depression?	Yes, I found it useful Yes, but I didn’t find it useful No, but I want to try it No, and it’s not something that I want to try I'm not sure what CBT is
Which of the following reasons for visiting MoodGYM best applies to you?	I'm looking for help for myself I'm looking for help for someone else I'm a health professional who treats people with depression or anxiety I'm a researcher reviewing depression or anxiety sites I'm studying anxiety and depression as part of a college or university course
How did you find out about the MoodGYM site?	I was referred by my GP/doctor I was referred by my counsellor or psychologist or psychiatrist I was referred by a friend I was referred by a family member I was referred by a work colleague or supervisor I was referred by my teacher/lecturer I searched for online CBT using a search engine I searched for information about depression using a search engine I clicked on a link from another website I read about the program in the media Other (please specify)
If you are looking for help for yourself, which of the following statements best applies to you?	I am committed to working through the entire MoodGYM program I'm not sure what MoodGYM involves, but I'll try it out I don't think I'll work through the entire program, but I'm interested in having a look