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Submission Form

Dear Visitor,

I am developing this database in an effort to "help us help ourselves." Some of the most effective and important healthcare information I have found for myself, is from other people sharing their healthcare experiences and observations with me. I also read extensively about health conditions my family and I have, which has also proven to be valuable time spent.

My personal opinion is that a database such as this, will give people (who are interested) an additional resource when they are trying to improve their health.

My Guidelines:
I will review each submission and only add the ones I feel are appropriate for this site. I may have to edit your submission, so that it will fit my format. If you find that I have edited it too much, please let me know.
If I deem that an entry may be perceived as an effort to "sell" a product, I may include the entry but not include the product name, but instead use a generic description.
If I have to reject your submission, I will let you know.
Please give me a few weeks to get the information posted.


Thanks for your time and interest in this topic. I hope that something on this page has some value to you.

... Connie

Is this observation about a:
male
female

Age bracket of the person (check the one that applies directly to your health observation - for example, if you or they are a senior citizen now, but you made the observation as an adolescent, choose adolescent):
senior citizen
adult
adolescent
child
infant

Is there a nutrient or drug or food or chemical involved? If so, please name it.

The Event

The Outcome

Has a doctor diagnosed you with something that pertains to this health observation?
Yes
No
If so, what is the diagnosis?

Have you developed a Self-Diagnosis?
Yes
No
If so, what is it?

Your E-mail address:

May I display your E-mail (so that others may write to you - this is not required to submit your health observations)
Yes
No

Did you or do you have any of the following illnesses:

No major illness
Diabetes
Cancer
Fibromyalgia
Chronic Fatigue Syndrome
Multiple Sclerosis
Lupus
Spinal Stenosis
Other: