* 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

* 10. What did you do this month to stay healthy?