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Asthma Society Sign Up Information

Last Updated:

3/2/2020 9

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Data Held

Email Address

Username

Your Name

First Name, Last Name

Your Address

Home Address, City, Country

Phone Number

Phone

Post-Registration Data

We are still gathering data about this website

Validation

This site did not show evidence of storing passwords in plaintext.

This site does allow secured connections (https)

This site did show a clear way to unsubscribe from their emails

This site does verify your email address.

Membership Emails

Below is a sample of the emails you can expect to receive when signed up to Asthma Society.

account activation...

We're glad you're here,

Activate Account

(Just confirming you're you.)

� helloguide GmbH
Benzweg 5, 64293 Darmstadt, Germany
Terms of Use ? Privacy Policy

Raw Data Registration Structure Registration Form Text

Registration

I'm a Patient / Parent of someone with asthma

First name

Last name

Title

Username

Phone

Home address

City

Country

Gender

I'm a Patient / Parent of someone with asthma

Form Selector *

I'm a Healthcare professional

I'm a Patient / Parent of someone with asthma

Male

Gender *

Female

Male

How did you hear about us? *

- Select a value -

How did you hear about us? *

- Select a value -

Which sector do you work in? *

- Select a value -

Yes

If you are registered as a GP please enter your unique 5 digit registration number, with no spaces. Are you over 18?

Country *

- Select a value -

City / County *

- Select a value -

Post

We need your phone number to keep in touch with you about our campaigns and events. Please enter your number without +, (), or spaces. I would like to receive occasional updates from the Asthma Society of Ireland including Asthma News, the Asthma Society E-Zine, details of Asthma Clinics in my area and details of other events or campaigns by: Contact me by

Post

Phone

SMS

Phone

I am a parent/carer of a child with asthma and would like to join the Asthma Parent Programme, and receive tailored updates and tips on managing asthma in children.

SMS Parent Program

My practice has signed up for the Free GP Care for Under 6's Programme

I am a parent/carer of a child with asthma and would like to join the Asthma Parent Programme, and receive tailored updates and tips on managing asthma in children. Under 6 Program

I have read the privacy policy *

My practice has signed up for the Free GP Care for Under 6's Programme NOTE: Free membership of the Society does not confer voting rights. Click here to view the ASI privacy policy.

Data Name	Data Type	Options
I'm a Patient / Parent of someone with asthma	Text Box
First name	Text Box
Last name	Text Box
Title	Text Box
Username	Text Box
Email	Text Box
Phone	Text Box
Home address	Text Box
City	Text Box
Country	Text Box
Gender	Text Box
I'm a Patient / Parent of someone with asthma	option	Form Selector *
I'm a Healthcare professional	option	I'm a Patient / Parent of someone with asthma
Male	option	Gender *
Female	option	Male
How did you hear about us? *	dropdown	- Select a value -
How did you hear about us? *	dropdown	- Select a value -
Which sector do you work in? *	dropdown	- Select a value -
Yes	checklist	If you are registered as a GP please enter your unique 5 digit registration number, with no spaces. Are you over 18?
Country *	dropdown	- Select a value -
City / County *	dropdown	- Select a value -
Post	checklist	We need your phone number to keep in touch with you about our campaigns and events. Please enter your number without +, (), or spaces. I would like to receive occasional updates from the Asthma Society of Ireland including Asthma News, the Asthma Society E-Zine, details of Asthma Clinics in my area and details of other events or campaigns by: Contact me by
Email	checklist	Post
Phone	checklist	Email
SMS	checklist	Phone
I am a parent/carer of a child with asthma and would like to join the Asthma Parent Programme, and receive tailored updates and tips on managing asthma in children.	checklist	SMS Parent Program
My practice has signed up for the Free GP Care for Under 6's Programme	checklist	I am a parent/carer of a child with asthma and would like to join the Asthma Parent Programme, and receive tailored updates and tips on managing asthma in children. Under 6 Program
I have read the privacy policy *	checklist	My practice has signed up for the Free GP Care for Under 6's Programme NOTE: Free membership of the Society does not confer voting rights. Click here to view the ASI privacy policy.