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A few questions to further customize your experience

Your Health

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  1. Do you (or a loved one) have any of the following conditions?*
  2. Do you have medicare?*

Tell Us More About You

  1. What language do you prefer?*
  2. Are you diagnosed with asthma and use an inhaler to manage your condition?*
  3. Do you currently suffer from migraine headaches?*
  4. Have you or a loved one been diagnosed with Irritable Bowel Syndrome (IBS)?*
  5. Have you or a loved one been diagnosed with Atrial Fibrillation?*
  6. Have you or a loved one been diagnosed with Parkinson's?*
  7. Have you or a loved one been diagnosed with Ulcerative Colitis, Ulcerative Proctitis or Indeterminate Colitis?*
  8. Have you or a loved one been diagnosed with High Blood Pressure/Hypertension?*
  9. Have you or a loved one been diagnosed with cancer?*
  10. Do you or a loved one struggle with ADD or ADHD?*
  11. Have you or a loved one been diagnosed or are suffering with Fibromyalgia?*
  12. Are you a homeowner?*
  13. Are you 40 years old or older?*

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