Chicago - Medical Conditions Question Title * 1. Contact info Name City/Town Email Address Phone Number Plaza Research Chicago is currently looking for Males & Females ages 18 yrs and up who have been diagnosed with specific medical conditions.Please answer the following questions to see if you meet the specifications we are looking for. Question Title * 2. Age Question Title * 3. Ethnicity African American Asian Caucasian Hispanic Other (please specify) Question Title * 4. Have you been diagnosed with any of these medical conditions? Anemia Cancer Chronic Kidney Disease Diabetes Hypertension Heart Disease Psoriatic Arthritis Rheumatoid Arthritis None of these Question Title * 5. Have you experienced any of these symptoms in the past year? Fatigue Weakness Pale skin Fast or irregular heartbeat Shortness of breath Dizziness Chest pain None of these Question Title * 6. What medications are you currently taking for your condition? 1 2 3 4 Next
