Chronic Illness Virtual Support Group Interest and Availability Survey

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* 1. How interested are you in attending a virtual support group for POTS EDS & MCAS?

Very interested

Somewhat interested

Neutral

Not very interested

Not interested at all

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* 2. Which days of the week are you available to attend the virtual support group? (Select all that apply)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

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* 3. What times of day are you available to attend the virtual support group? (Select all that apply)

Morning (8 AM - 12 PM)

Afternoon (12 PM - 4 PM)

Evening (4 PM - 8 PM)

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* 4. Are you able to pay $30 per group session?

Yes

No

Other (please specify)

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* 5. If you answered 'No' to the previous question, please specify how much you are able to pay per session.

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* 6. What would your preference be for how often the group meets?

Once a week

Every 2 weeks

Once a month