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Hello:
You are invited to participate in our survey “Social Outreach Program and Ecological Action Plan” . In this survey, approximately 50 people will be asked to complete a survey that asks questions about Medical issues. It will take approximately 10 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. 
Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
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First Name : 
Last Name : 
 
 
 
Does your family have genetic disease ?
   
 
 
 
How often you get sick in a month?
   
 
 
 
Do small illnesses last a week/longer?
   
 
 
 
If you have a illness/emergency issue,where do you go?
   
THANK YOU FOR YOUR COOPERATION ! " MAY GOD BLESS YOU "