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Heart Disease Survey
(responses shared on
lifey.org/heart-disease
as a resource for those affected by heart disease)
*You can answer as many of the questions as you like.
*Responses can be as short or as long as you like.
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First Name:
Your answer
Age:
Your answer
What symptoms have you experienced?
Your answer
Is there anything you believe contributed to or caused your heart disease?
Your answer
What are some interesting facts about heart disease?
Your answer
What's your experience with heart disease-related pain and pain relief?
Your answer
What are the hardest aspects of living with heart disease?
Your answer
What encouragement/advice can you give others who experience heart disease?
Your answer
What's been your experience with diet and exercise?
Your answer
What's been your experience with treatments (medication, surgery, etc.)?
Your answer
Anything you'd recommend for someone with heart disease?
Your answer
What specific resources have you found most helpful?
Your answer
Share an experience you've had related to living with heart disease.
Your answer
Enter email address if you'd like to receive a biannual newsletter with updates about this project
Your answer
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