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Chronic Illness Virtual Support Group Interest and Availability Survey
1.
How interested are you in attending a virtual support group for POTS EDS & MCAS?
Very interested
Somewhat interested
Neutral
Not very interested
Not interested at all
2.
Which days of the week are you available to attend the virtual support group? (Select all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
3.
What times of day are you available to attend the virtual support group? (Select all that apply)
Morning (8 AM - 12 PM)
Afternoon (12 PM - 4 PM)
Evening (4 PM - 8 PM)
4.
Are you able to pay $30 per group session?
Yes
No
Other (please specify)
5.
If you answered 'No' to the previous question, please specify how much you are able to pay per session.
6.
What would your preference be for how often the group meets?
Once a week
Every 2 weeks
Once a month