If you EVER been diagnosed with an illness, please complete this quick survey.
There are only 4 questions. Thank you!
Email address *
Where do you get information about health or health related news (this includes recipes or nutrition tips)? (List social accounts, web sites or news publications please) *
Your answer
How do you read or consume this information? (check all that apply) *
Tell me a little bit about yourself and your health goals. (Ex. I'm an architect and father of two boys who enjoys playing soccer on the weekends. My goal is to be physically fit and more equipped to manage stress as I grow older.) *
Your answer
When you hear "alternative health or medicine" what words or occupations come to mind? *
Your answer
What concerns do you have related to your health or the health of your loved ones? *
Your answer
What is your age range? *
What chronic disease or illness have you been diagnosed with?
Your answer
Please tell me your first name.
Your answer
May I contact you directly with further questions.
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