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Fibromyalgia Food Access & Health Survey

Fibromyalgia Food Access & Health

This survey was organized by the Support Fibromyalgia Network nonprofit organization, HealtheVoices Impact Fund, HealthMatters, and Nerdy Health in order to better support the Fibromyalgia community. This is for U.S. based residents over the age of 18 years old. 
1.What is your 5-digit zipcode?(Required.)
2.Check all that apply. I've been diagnosed with the following:(Required.)
3.In general, how would you rate your overall health?(Required.)
4.During the past 4 weeks, how disruptive was your physical or mental health to your normal social activities with family, friends, neighbors, or groups?(Required.)
5.During the past 4 weeks, how disruptive was your physical or mental health to getting groceries, cooking, and any means of getting food for yourself?(Required.)
6.How important is it to you to live a healthy lifestyle?(Required.)
7.Do you live in a food desert?(Required.)
8.Have you ever experienced food insecurity, that is, not knowing where your next meal is coming from, or involuntarily eating less than you need, on a regular basis, for a period of time lasting more than a month?(Required.)
9.Does your neighborhood have too many, too few, or about the right number of grocery stores?
10.About how many cups of vegetables do you eat each day? If you don’t know for certain, please provide an estimate.(Required.)
11.Please check any of the following services that you currently use:(Required.)
12.Do you have financial access to nutritious food?(Required.)
13.Do you have physical access to nutritious food?(Required.)
14.Please select any of the following statements that you feel apply to you:(Required.)
15.Has a medical provider talked to you about nutrion?(Required.)
16.Please share with us any additional comments on how you access food and anything you noticed in how it relates to your health:
Current Progress,
0 of 16 answered