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Gravity Form Test

More About You Questionnaire

This Efforia study would like to learn a little more about you so that we may better understand if different types of people are interested in the study and how the outcomes affect different types of individuals.

How would you classify your financial situation?(Required)
Do you have any of the following chronic conditions? (Check all that apply)(Required)
Do you experience any of the following on a regular basis? (Check all that apply)(Required)
How would you describe your current level of physical activity?(Required)
How would you rate the healthfulness of your diet on a regular basis?(Required)
Do you smoke or use tobacco products?(Required)
Do you consume alcohol? If yes, how often?(Required)
How would you rate your overall health?(Required)
How would you rate your mental health/stress levels?(Required)
How would you describe your body weight?(Required)
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Harassment or bullying behavior
Contains mature or sensitive content
Contains misleading or false information
Contains abusive or derogatory content
Contains spam, fake content or potential malware

Block Member?

Please confirm you want to block this member.

You will no longer be able to:

  • See blocked member's posts
  • Mention this member in posts
  • Invite this member to groups
  • Add this member as a connection

Please note: This action will also remove this member from your connections and send a report to the site admin. Please allow a few minutes for this process to complete.

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