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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. Do you currently suffer from migraine headaches?*
  2. Have you or a loved one been diagnosed with a skin condition called Psoriasis?*
  3. Have you or a loved one been diagnosed with heart disease, Atrial Fibrillation, or have experienced a stroke?*
  4. Have you or a loved one been diagnosed with dementia or Alzheimer's?*
  5. Have you or a loved one been diagnosed with HIV/AIDs?*
  6. Have you or a loved one been diagnosed with cancer?*
  7. Do you or a loved one have Atopic Dermatitis or Chronic Eczema?*
  8. Do you or a loved one have persistent or chronic dry mouth where not enough saliva is produced in the mouth?*
  9. Do you or a loved one get light headed due to low blood pressure, otherwise known as nOH-Neurogenic Orthostatic hypotension?*
  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. Are you a homeowner?*
  14. Have you or a loved one been injured in a car accident within the last 3 years?*
  15. Are you 40 years old or older?*

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