Chronic Illness Survey
The Sick Mom’s Guide Podcast is in production & we'd love to have your input so we can talk about what YOU want to hear. This podcast is an informative & humorous look at the life of people with chronic illness/pain/anxiety & depression, along with some ways to work on making our lives more enjoyable.

Please answer the following anonymous questions with as much or as little detail as you’d like. Every answer helps!

I give permission for my answers to be anonymously shared on the podcast: *
Required
I would like to hear the following things on this podcast:
Your answer
I would NOT like to hear about the following things on this podcast
Your answer
I would like to hear from: (click all that apply)
What type of alternative practices would you like to learn about?
Your answer
What questions would you like the guests to answer?
Your answer
As someone with chronic illness/pain/anxiety/depression, the term I like best for myself is:
I have the following health issues
People in my life are generally:
My doctors:
I wish healthy people could understand:
Your answer
My pain level is a constant:
A typical day for me looks like this:
Your answer
I'd like you to know:
Your answer
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