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Hashimoto’s Thyroiditis Program Survey

Help us shape our upcoming program by sharing your thoughts. Your input will ensure we meet the needs of those managing Hashimoto’s Thyroiditis. Thank you for your time!

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Question 1 of 4

Have you been told that you have Hashimoto's disease?

A

Yes, I have been officially diagnosed

B

No, but I suspect I might have it

C

No

Question 2 of 4

If yes, do you take medication for it?

A

Yes, I take medication regularly

B

Yes, but only occasionally

C

No, I do not take any medication

D

Not applicable

Question 3 of 4

Do you know that your diet may impact the progression of the disease?

A

Yes, I am fully aware

B

Yes, but I’m not sure how it works

C

No, I wasn’t aware

D

I’ve heard a little about it, but need more information

Question 4 of 4

Would you be interested in participating in a group class to help manage Hashimoto's disease?

A

Absolutely, I would love to join

B

I’m interested but need more details

C

I’m undecided at the moment

D

No, I’m not interested

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