Form cover
Page 1 of 3

Family Health Survey

You are invited to take this survey, it takes less than 2 minutes.

Currently, what is your biggest challenge in maintaining good health?

Pergunta 1

This survey addresses common health conditions in all families (including spouse, parents, siblings, children, uncles, aunts, cousins, and other relatives)

In your family, does anyone have or has ever had:

Pergunta 2

If you could only improve ONE of the selected conditions, which one would you choose?