Autoimmune Disease Research

Questionnaire Portion

All questions on this page require an answer.

Question Title

* 1. Please enter your contact information! (No information will be used without your consent, and you can request to stay anonymous

Name

email address

Facebook (if applicable)

Do you wish to stay anonymous at all times? (will be verified before use of any answers)

Question Title

* 2. Do you or someone you know have an autoimmune disease?

I struggle with an autoimmune disease.

I know someone who struggles with an autoimmune disease.

I don't know anyone with an autoimmune disease, but am interested in the research behind them.

Question Title

* 3. What autoimmune disease do you (or someone you know) struggle with, and how long have you/they struggled with it? (Type N/A if you don't know anyone who struggles with an autoimmune disease.)

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* 4. What symptoms have you (or the person you know) experienced?

nausea

dizzy/lightheadedness

fatigue

muscle pain

joint pain

insomnia

swelling

headaches/migraines

high-blood pressure

muscle spasms

Other (please specify)

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* 5. What types of diets/food restrictions have you (or the person you know) tried?

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* 6. What types of exercise are easiest or most beneficial?

yoga

hiking

walking

swimming

stretching

Other (please specify)

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* 7. Have you noticed what triggers flareups?

N/A

food choices

environment

weather changes

stress

sleep

seasonal allergies

travelling

working out

Other (please specify)

Autoimmune Disease Research

Questionnaire Portion

Question Title

* 1. Please enter your contact information! (No information will be used without your consent, and you can request to stay anonymous

Question Title

* 2. Do you or someone you know have an autoimmune disease?

Question Title

* 3. What autoimmune disease do you (or someone you know) struggle with, and how long have you/they struggled with it? (Type N/A if you don't know anyone who struggles with an autoimmune disease.)

Question Title

* 4. What symptoms have you (or the person you know) experienced?

Question Title

* 5. What types of diets/food restrictions have you (or the person you know) tried?

Question Title

* 6. What types of exercise are easiest or most beneficial?

Question Title

* 7. Have you noticed what triggers flareups?

Question Title

* 8. What types of treatments/medications seem to be useful?