Request edit access
Health Issues 2024
Yahoo Life is compiling answers from U.S.-based readers (age 18 and up) about the health-related policies and topics that concern you most ahead of the 2024 election. By filling out this form and submitting your responses, you acknowledge and agree that your responses may be quoted or otherwise used in upcoming stories, and that your submitted responses are governed by Yahoo's Terms of Service. 
Sign in to Google to save your progress. Learn more
Email *
Please tell us your name (this is for internal purposes). *
Please tell us your age. *
How should we identify you if we use your answers? (full name, first name only, completely anonymous) *
Which health issue concerns you the most right now? 
*
What is your second choice? *
What is your third choice? *
Anything else you'd like to add about these concerns?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Yahoo Inc..

Does this form look suspicious? Report