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* 1. This survey is for adults who have been diagnosed with Evans Syndrome. When we ask "you" for an answer, we are referring to the adult with Evans Syndrome. Thank you very much for your frank and honest answers.

What is your race. Please check all that apply.

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* 2. Are you normally considered to be pale for your race?

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* 3. Please select your sex by checking a box, AND then tell us your age in the comment field:

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* 4. Do you have a tattoo?

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* 5. Have you ever been on medication for cholesterol?

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* 6. Aside from Evans Syndrome, with what other autoimmunities have you been diagnosed? Please check all that apply and use the Other field for anything not listed.

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* 7. Have you been tested for heavy metals or other environmental agents?

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* 8. How would you rate your overall health prior to your diagnosis of Evans Syndrome?

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