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Chronic Dizziness/Illness Brief Survey
Thanks so much for completing this 5-10 minute survey! Your Content must not be false, defamatory, misleading or hateful or impinge on any copyright. I'll use contact details you provide to verify your identity and answers to the questionnaire as well as to contact you for further info. Please email me at
BrianPlatzer@gmail.com
with any questions.
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* Indicates required question
Disorder/illness/symptoms
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Your answer
Please share your story of interactions with medical providers, friends, and family. I am especially interested in those with a medical system that is inclined to disbelieve people with symptoms it doesn't understand.
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Your answer
Location (where do you live?)
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Your answer
Age Range
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15-25
26-35
36-50
50+
Name
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Your answer
If I quote your content, would you prefer anonymity?
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Yes
No
Do Not quote my content.
Gender
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Female
Male
Prefer not to say
Other:
Race/Ethnicity
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Self-identified Asian
Self-identified Black
Self-identified Hispanic/Latinx
Self-identified Native American
Self-identified White
Prefer not to say
Other:
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