CONTACT – CHB

WHAT IS REALLY ESSENTIAL?

TIME? POWER? MONEY?

Have you already completed the survey questionnaire for the Health Benefits 2023 - 2026 Initiative?
If so, please continue to the registration, if not, please fill it out now!

Filling out this questionnaire is anonymous, voluntary and does not commit you to anything!

Describe your situation:(Required)

Select one or many checkboxes!

I need to care my parents.

I have a sick family member.

I live far from family.

My job is demanding.

I live alone and need security and help if needed.

I am old-aged, but active, in need of new knowledge and friends.

None of the above.

Overview of your needs:(Required)

Select one or many checkboxes!

Communication inside the family.

Communication between family and institutions.

Comfortable access to experts and services.

Optimal use of services.

Selection, training or supervision of care staff.

Planning living conditions in old age.

Adaptation of living spaces.

Financing living in old age.

None of the above.

Point to your expectations:(Required)

Select one or many checkboxes!

Reducing administrative challenges.

Thinking and acting steadily and confidently.

Avoiding unnecessary services.

Reducing work absence and travel.

Dealing with crises and difficult situations.

Regular gatherings and exchange of experiences.

None of the above.

Have a wishes?(Required)

Select one or many checkboxes!

I wish to share my experience!

I wish to meet new people!

I wish to hear the views of foreign experts!

I wish to be actively involved in the work of the Initiative!

I would especially like to be a moderator at Initiative

I would especially like to be a talent at Initiative

None of the above.

Age(Required)

Choose one

Gender(Required)

Choose one

Distance from family(Required)

Choose one

Employment(Required)

Choose one

Would you like to receive news about the Initiative?(Required)

Choose one

Your name(Required)

First Last

Email(Required)

How could Initiative Health Benefits be improved?

The organizer is not obliged to accept suggestions. We thank you for your understanding!

Consent(Required)

I hereby have chosen to receive only information about the Health Benefit Initiative, for all other purposes Second Opinion requires further explicit consent.
I hereby consent to the Second Opinion for the processing and storage of my personal data only for internal purposes until the recall.

I have read and understood the privacy policy and hereby agree to it.

Expression of interest in active participation at 4th CHB 2023

This application expressed your interest in participation, and it is not binding!

Welcome!(Required)

I am invited, and I have a personal code

I do not have a personal code

Accreditation personal code

CHB 2023 personal code (two letters and four digits) provide you free access to all levels - put it please in the field below!

Your Name(Required)

First Last

I would like to participate at:(Required)

Day 1 - Get-together

Day 2 - Linking Session

Day 3 - Business Circle

The business circle is reserved exclusively for a business talk/planning for 2024 with existing or future partners of the Initiative.

Your interest in the health and aging topics by people who live apart from their families?(Required)

One or more choices

Personal - I have experience

Personal - I am looking for or will be looking for new solutions

Professionally - I have experience

Professionally - I have competences

Professionally - I am looking for or will look for new solutions for my employees or clients

You want to participate in the creation of new communication tools and concepts of the Health Benefits Initiative?(Required)

One or more choices

I want to shape benefits for families

I would like to develop benefits for medics and other service providers

I would like to design benefits for employers

I will be just observer!

Which linking sessions focused on families, do you want to participate in?

Providing safety (saving time)

Preventing Burnout (saving power)

Eliminating fears (keeping values)

Which linking sessions focused on providers, do you want to participate in?

Optimizing the frequency of visits to the doctor (saving time)

Increasing the importance in the community (saving power)

Another perspective for the career (keeping values)

Which linking sessions focused on employers, do you want to participate in?

Changing the sick leave rate (saving time)

Impact on engagement at work (saving power)

Direct and indirect savings (keeping values)

Comments and suggestions

Explain how you can contribute to creating new communication tools and concepts of the Health Benefits Initiative! Please let us know what's on your mind. Have a question for us? Ask away.

Anything more concrete you'd like to share?

For photos, we suggest using a resolution of up to 96 DPI. We recommend compressing PDF documents.

Accepted file types: tiff, png, pdf, Max. file size: 2 MB.

Your E-mail(Required)

Important to receive information!

Phone

Address(Required)

Street Address City ZIP / Postal Code Country

A legal form(Required)

Private person

Company

Name of legal entity (company / institution)(Required)

Name of responsible person in the company/institution

If different from "YOUR NAME"

First Last

TAX regulation(Required)

EU company with EU tax number

Not EU company without EU tax number

VAT identification number (UID)(Required)

Accompanying person at Concert(Required)

Our partners and contributors are invited with accompanying persons to the Vienna Boy´s Choir concert in the Hofburgkapelle!

Yes

Accompanying person name

First Last

Photos, Audio, Video(Required)

By registering for CHB 2023 you grant organizer Second Opinion GmbH permission to take your photo, audio and/or video and to use your photo, audio and/or video in educative, scientific and promotional materials, publications and on the convention and company website.
Any fees or special permits are hereby excluded and will not be the subject of a claim.

I have read and understood, and I grant permission

Consent(Required)

I have read and understood the privacy policy and hereby agree to it.

Registration data and certain other information about your entries is subject to our Privacy Policy.

WHAT IS REALLY ESSENTIAL?

TIME? POWER? MONEY?

Have you already completed the survey questionnaire for the Health Benefits 2023 - 2026 Initiative? If so, please continue to the registration, if not, please fill it out now!

Filling out this questionnaire is anonymous, voluntary and does not commit you to anything!

Expression of interest in active participation at 4th CHB 2023

This application expressed your interest in participation, and it is not binding!

Have you already completed the survey questionnaire for the Health Benefits 2023 - 2026 Initiative?
If so, please continue to the registration, if not, please fill it out now!