* 1. What is your gender?

* 2. What is your age?

* 3. What is your approximate average household income?

* 4. In general, how would you rate your overall health?

* 5. Do you see any of the following providers, check as many as apply

* 9. If you could save 15-20% off of the cost of these Complementary and Alternative Methods, would you do
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* 10. What did you do this month to stay healthy?

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