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Autoimmune and Hormone Health Community NYC
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1.
What is your age group?
(Required.)
18-24
25-34
34-45
45+
2.
Where are you located?
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3.
How do you identify?
(Required.)
Female
Transgender
Non-Binary
Male
Other
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4.
What are you hoping to get from joining this community?
(Required.)
Resources
Best practices
Bonding with others with same conditions
All of the above
Other (please specify)
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5.
What is your preferred platform?
(Required.)
Slack
Facebook Group
Circle
Zoom
Other (please specify)
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6.
Would you attend in person, online, or both forms of meetings?
(Required.)
Online
In person
Both
7.
If you were diagnosed with a disorder and or syndrome, which condition is it?
8.
If you were diagnosed with a disorder, how long did it take you to be diagnosed? (From when your symptoms began)
Under 6 months
6 months to 1 year
1 year to 2 years
Over 2 years
9.
How did you hear about our group?
From a friend
From group founder itself (Jaclyn)
From facebook group
From Instagram
Other (please specify)
10.
What kind of content would you engage with and/or utilize?
Podcasts
Facebook/Instagram Posts
Blog posts
Threads on a community forum (discussion-style)
Video conference calls/seminars
Other (please specify)