Surveys
2015
August
D
Depression
Depression
0%
Exit Survey
What diagnoses have you received for your mental illness (select all that apply)?
Depression
Anxiety
Eating Disorder
Addiction
What diagnoses have you received for physical illness (select all that apply)?
Chron's Disease
Celiac Disease
Gluten or Lactose Intolerant
Gastroparesis or other gastrointestinal problem
Other
How do these diagnoses affect you and your life?
How long have you been dealing with these illnesses?
What age and gender are you? What is your first initial?
What kind of help (if any) are you seeking now?
Doctor (General) Appointments
Specialty Doctors
Therapist
Psychiatrist/ Medication
Other
What do you think caused your illnesses (if you know)?
Mention a time that you did something you regret due to your illness.
What is something that you wish other people would know about chronic illnesses?
How would you define yourself without your illness? How does your illness define you?
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