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Please indicate your gender:

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Please indicate your age group:
Under 18     18 - 25     25 - 40     40 - 50    

50  +    


Please indicate your income earning bracket:
$20-$60k:   $60k+: 


Do you shop at a health food store?
At least once a week:  More than once a week:   



Do you shop at a pharmacy?
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Do you prefer to visit a GP, a natural healthcare professional or both?

Natural Healthcare Professional:   

Both:   

 


Please indicate natural therapies you are interested in learning more about:

Acupuncture:         

    Flower Remedies:    

Craniosacral Therapy:      

Gestalt Therapy:    

    Herbal Medicine:      

Homeopathy:                  

Iridology:              

   Kinesiology:              

Massage:                       

Naturopathy:          

    Osteopathy:              

Reflexology:                   

Reiki:                    

     Yoga                       

Vibrational Medicine:       

Other:

 


How often do you exercise?
At least once a week:  More than once a week:   



What sort of foods do you have in your diet?

Herbal Tea:              

Sports & Fitness foods:  

Flaxseed Oil:           

Bottled Water:                

Special Diet Foods  

Organic Fruit & Veg:       

Bottled Fruit Juice:   

Supplements:                

Soy:                        

Olive Oil:                       


We greatly appreciate the time you have taken to complete our survey.
We'll use it to enhance the information we provide in The Art of Healing.

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