Integrity Research Project Application Question Title * 1. What is your gender? Female Male OK Question Title * 2. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older OK Question Title * 3. What is your approximate average household income? $0-$24,999 $25,000-$49,999 $50,000-$74,999 $75,000-$99,999 $100,000-$124,999 $125,000-$149,999 $150,000-$174,999 $175,000-$199,999 $200,000 and up OK Question Title * 4. In general, how would you rate your overall health? Excellent Very good Good Fair Poor OK Question Title * 5. Do you see any of the following providers, check as many as apply Chiropractor Massage Therapist Yoga Classes Counselor/Therapist Acupuncturist Other (please specify) OK Question Title * 6. If you went to a chiropractor this month, how many times did you go? once this month twice this month three times this month four or more times this month None: because I couldn't afford it None: because I don't know how Chiropractic would benefit me None: because I don't believe in it or choose to go Other (please specify) OK Question Title * 7. If you got massages this month, how many did you get? once this month twice this month three times this month four or more times this month None: because I can't afford it None: because I don't know how it would benefit me None: because I don't believe in it or choose to go Other (please specify) OK Question Title * 8. How often do you do yoga? Everyday 2-3 times a week once a week twice a month once a month None: because I can't afford it None: because I don't know how it would benefit me None: because I don't believe in it or choose to go Other (please specify) OK Question Title * 9. If you could save 15-20% off of the cost of these Complementary and Alternative Methods, would you do more Chiropractic Care Massage Therapy Yoga Classes Counseling/Therapy Accupuncture Supplements Other (please specify) OK Question Title * 10. What did you do this month to stay healthy? I exercised at least 30 minutes a day at least 3 times a week I eat vegetables every day My stress level is low I eat fruit everyday I sleep well everyday I am happy with my work/job I am happy in most of my relationships OK DONE