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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. Are you currently using any form of birth control?*
  2. Do you struggle with breathing issues like bronchospasm, shortness of breath, or wheezing?*
  3. Have you or a loved one been diagnosed with a skin condition called Psoriasis?*
  4. Have you or a loved one been diagnosed with heart disease, Atrial Fibrillation, or have experienced a stroke?*
  5. Have you or a loved one been diagnosed with dementia or Alzheimer's?*
  6. Have you or a loved one been diagnosed with HIV/AIDs?*
  7. Have you or a loved one been diagnosed with cancer?*
  8. Do you or a loved one have Atopic Dermatitis or Chronic Eczema?*
  9. Do you or a loved one use corrective eyewear such as glasses or contacts?*
  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. Have you been diagnosed with Overactive Bladder?*
  13. Have you or a loved one experienced Fibrocystic Breasts, which is composed of tissue that feels lumpy or rope-like in texture?*
  14. Are you a homeowner?*
  15. Are you 40 years old or older?*

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