HFA National Survey Prize Draw

Thank you for completing the Haemophilia Foundation Australia (HFA) National Survey!

Fill out the below form to enter the draw to win

First prize – $200 gift voucher (valid Australia-wide)
Second prize – $100 gift voucher (valid Australia-wide)

By completing this entry form separate to your survey results, we can ensure your survey answers remain anonymous.

The HFA National Survey and Prize Draw closing date is 31 August 2026.

Prizes will be drawn on 14 September 2026. Winners’ names will be announced on the HFA website.

HFA National Survey 2026 Prize Draw Registration Details

Survey Code(Required)

You will receive this code on completing the HFA National Survey.

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

E-News and National Haemophilia

Please register me to receive HFA e-news (email newsletters)

Please register me to receive the HFA National Haemophilia magazine by post

Information in this entry form will only be used for the prize draw and will not be added to any databases unless you request to be registered for HFA e-news or to receive National Haemophilia by mail by ticking the boxes above. The information will not be passed on to a third party. The entries will be destroyed when the prize draw has been completed.

HFA National Survey 2026 Prize Draw Registration Details

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