JITO USA ~ NY Women's Forum
Jai Jinendra,

We are delighted to invite you to the Launch of JITO USA ~ NY Women’s Forum.

The aim of this forum is to empower women socially, academically and economically through leadership, technology and various professional collaborations.

March is Women's Health Month, so the focus of our first session is on Women's Mind, Body and Soul.

Please take a few minutes to fill out this survey so we may serve you better.

Thank You,
JITO USA NY

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What are your health concerns, if any?
Do you routinely go for check-ups? *
 If not, what prevents you from getting regular check-ups?
Are you concerned about mammograms, pap smears, cancer screening, and gastrological issues? *
Most
Somewhat
Not at all
Mammograms
Pap Smears
Cancer Screening
Gastrological Issues
Do you understand the purpose of colonoscopy? *
Have you gotten a colonoscopy done? Are you planning to get one in the near future? *
How concerned are you about your mental health? *
Which topics of mental health issues are of most concern: Depression, anxiety, stress, performance/social pressure, or suicide thoughts?
Very Concerned
Somewhat Concerned
Not Concerned
Depression
Anxiety
Stress
Performance/Social Pressure
Suicide Thoughts
How do you satisfy your spiritual health? What actions do you take? *
What do you want to gain from JITO USA ~ NY’s Women's forum? List 5 topics you would like to see discussed through JITO?
Do you have a special expertise or talent you can share with JITO?
Please enter your email and phone so that we may contact you.
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