Numerology Research - Cancer
Exit this survey

1. Default Section

100%

I am performing a Multistage Random Sampling of people with Cancer. To begin with, I’d like to determine how many people with the root Numbers 3, 6, or 9 have been diagnosed with Breast Cancer, or Cancer of the female reproductive systems (uterus, ovaries, cervix, vaginal), or Male reproductive system (testicles). There are four questions on my Survey.

If you would like more information about my research, please feel free to email me at Seriita@live.com. Please place Cancer Research in the subject line of your email.

I thank you in advance for your participation!

1. Have you been diagnosed with Cancer?

Have you been diagnosed with Cancer? Yes

No, Please Exit This Survey

*
2. When were you born?

	MM		DD		YYYY
Birthday:	When were you born? Birthday: Month	/	Day	/	Year

3. What type of Cancer?

What type of Cancer? Breast Cancer

Uterine Cancer

Ovarian Cancer

Cervical Cancer

Vaginal Cancer

Testicular Cancer

OTHER

4. What year were you diagnosed?

	MM		DD		YYYY
Diagnosis:	What year were you diagnosed? Diagnosis: Month	/	Day	/	Year

Numerology Research - Cancer
Exit this survey

1. Default Section

1. Have you been diagnosed with Cancer?

*
2. When were you born?

3. What type of Cancer?

4. What year were you diagnosed?

5. Your comments are welcomed.

6. Email Adress (Optional)

Numerology Research - CancerExit this survey

1. Default Section

1. Have you been diagnosed with Cancer?

*2. When were you born?

3. What type of Cancer?

4. What year were you diagnosed?

5. Your comments are welcomed.

6. Email Adress (Optional)

Numerology Research - Cancer
Exit this survey

*
2. When were you born?