Survey Instructions

Free No-Obligation Allergy Relief Survey

What are you allergic to? * Describe What Happens? How does your body react? On a scale of 1-10: How Bad are Your Allergies Please Select One of the Following1-3 My symptoms are not that intense4-5 My symptoms are pretty bad6-8 I feel awful much of the time9-10 I cant stand these allergies. I need help now What kind of Allergy Treatments have you tried? * Allergy Shots Medications like Claritin, Allegra Bronchial Inhaler sometimes Alternative Allergy Care like NAET What kind of Therapies do you Prefer? * I prefer things I can use to heal myself. I am a do-it-yourselfer Taking Nutritional Supplements (pills) works for me I use protein drinks, green drinks, tinctures I take prescription drugs, but I do not like them I want to do Allergy Relief Clearings and eliminate my allergies permanently Your Name: * E-mail Address: * Would you like a Free Consultation with Dr. Edwards? * Please choose one of the following:I would like my Free Consultation via VideoMailI prefer a Free Phone Consultation with the Doctor.Actually, I am just curious. I do not want a free consultation. Phone: For Free Consultation * Required

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