SurveyMonkey Powered Online Survey

Thank you for your interest in joining the MyHepCTeam private beta, a social network for people with living with hepatitis C (HCV).

If you would like us to contact you to let you know when this site launches, please enter your information below:

Question Title

* 1. What best describes you below?

I haven't been officially diagnosed with Hepatitis C

I am living with Hepatitis C, but I'm not taking any treatment

I am living with Hepatitis C, and I'm taking treatment

I care for someone living with Hepatitis C

For other, please specify

Question Title

* 2. Address

Name

Email Address