Depression

What diagnoses have you received for your mental illness (select all that apply)?

Depression

Anxiety

Eating Disorder

Addiction

What diagnoses have you received for physical illness (select all that apply)?

Chron's Disease

Celiac Disease

Gluten or Lactose Intolerant

Gastroparesis or other gastrointestinal problem

Other

How do these diagnoses affect you and your life?

How long have you been dealing with these illnesses?

What age and gender are you? What is your first initial?

What kind of help (if any) are you seeking now?

What do you think caused your illnesses (if you know)?

Mention a time that you did something you regret due to your illness.

What is something that you wish other people would know about chronic illnesses?

How would you define yourself without your illness? How does your illness define you?