HEALTH &WELLNESS SURVEY

Welcome: At the present time health disparities are plaguing our community causing families to lose friends and loves one near and dear to them. Because there is a lack of information and resources needed to heal our community, The Global Holistic Movement is conducting this survey. Your feedback is vital for incorporating a sound plan of action to address health concerns and in turn offer healthy alternatives to families. Thank you in advance for you time and efforts. We look forward to serving you in the near future..

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* 1. What are your health concerns?

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* 2. Would an Integrative Wellness Program be helpful for you & your family

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* 3. If An Integrative Wellness Plan were put in place, would you prefer. 

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* 4. How much would you be willing to invest monthly for an Integrative Wellness Service Plan? (Please enter a whole number. Enter the number of dollars you are willing to pay.)

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* 5. Do you already have an alternative healthcare regimen?

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* 6. What is your gender?

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* 7. What is your age?

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* 8. Which of the following best describes your current relationship status?

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* 9. Do you have children? 

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