Skip to content
Root Cause Medicine
1.
Do you have an Autoimmune Disease?
Yes
No
2.
Are you taking a prescription to manage your condition?
Yes
No
N/A I don’t have an Autoimmune condition
3.
If yes, how often are you taking your medication?
N/a - I’m not taking medication
Multiple times per day
Daily
Weekly
Monthly
Quarterly
Twice a year
Annually
Other
4.
If applicable, to what extent do you experience side effects from your medication?
N/A - I don’t take medication for my Autoimmune condition
A great deal
A lot
A moderate amount
A little
None at all
5.
To what extent do you find your treatment financially burdensome?
N/a
A great deal
A lot
A moderate amount
A little
None at all
6.
Are you interested in root cause medicine / holistic treatment options?
Yes
No
7.
To what extent have you explored root cause / holistic treatment options in the past?
N/a
A great deal
A lot
A moderate amount
A little
None at all
8.
Have you ever tried holistic / root cause medicine?
Yes
No
9.
Select the items that you feel are barriers to pursuing root cause / holistic treatment options (select all that apply)
Cost
Knowledge gap
Overwhelming nature of the process
Lack of support
Lack of community
Unclear what doctors and tests are needed
Other