Health Needs Survey

Are you ready to finally heal so you can thrive?

The team from the Wellness Superheroes, Budesonide Works, and Defense Boxes want to best serve you as we are getting many requests for additional information and assistance with lingering issues from Covid as well as side effects of the shot or other pharmaceuticals. None of this information will be shared with any third party. It is just for our own research so we may best assist you in your continued healing. We are working on solutions, products and programs to help all of us heal and thrive to be our best selves.
1.How did you get to this survey?
2.Which of the following statements ring true for you? (check all that apply)(Required.)
3.First Name(Required.)
4.Email(Required.)
5.Are you vaccinated (CV shots)? If so, how many shots? (this is important so that we can make sure we have solutions for everyone)(Required.)
6.Do you live with or spend a lot of time around people who are vaccinated (CV shot)?
7.Have you ever had Covid (either positive test or symptoms)? And if so, do you have lingering symptoms or issues.(Required.)
8.Have you taken Ivermectin? If so, what form and for how long?(Required.)
9.Which of the following lingering symptoms or issues are you currently struggling with? (Check all that apply)(Required.)
10.Would you be interested in any of the following? (check all that apply)(Required.)