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<!--Generated by Squarespace Site Server v5.8.0 (http://www.squarespace.com/) on Sat, 07 Nov 2009 21:59:56 GMT--><rss xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:wfw="http://wellformedweb.org/CommentAPI/" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:dc="http://purl.org/dc/elements/1.1/" version="2.0"><channel><title>Allergy Relief Survey</title><link>http://allergyexpert.squarespace.com/allergy-survey/</link><description></description><lastBuildDate>Sat, 15 Aug 2009 15:02:46 +0000</lastBuildDate><copyright></copyright><language>en-US</language><generator>Squarespace Site Server v5.8.0 (http://www.squarespace.com/)</generator><item><title>Free No-Obligation Allergy Relief Survey</title><category>allergy</category><category>allergy survey</category><category>belly fat</category><category>inflammation</category><dc:creator>DR. TED EDWARDS</dc:creator><pubDate>Mon, 06 Aug 2007 05:22:36 +0000</pubDate><link>http://allergyexpert.squarespace.com/allergy-survey/2007/8/5/free-no-obligation-allergy-relief-survey.html</link><guid isPermaLink="false">122005:1482785:1190169</guid><description><![CDATA[<p>&nbsp;</p>
<!-- Begin myContactForm.com Form HTML --> <form action="http://www.mycontactform.com/sendform/sendform.php" method="post"> <input id="user" name="user" type="hidden" value="chiroted" /><input id="formid" name="formid" type="hidden" value="72906" /><input id="subject" name="subject" type="hidden" value="Help Me Eliminate My Allergies Now" /> 
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<td colspan="2"><span style="font-size: 120%;">What are you allergic to? *</span></td>
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<td colspan="2"><span style="font-family: Verdana; color: #000000; font-size: x-small;"><textarea cols="30" rows="3" name="q[5]"></textarea></span></td>
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<td colspan="2"><span style="font-family: Verdana; color: #000000; font-size: 120%;">Describe What Happens? How does your body react?</span></td>
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<td colspan="2"><span style="font-family: Verdana; color: #000000; font-size: x-small;"><textarea cols="30" rows="3" name="q[13]"></textarea></span></td>
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<td colspan="2"><span style="font-family: Verdana; color: #000000; font-size: 120%;">On a scale of 1-10: How Bad are Your Allergies</span></td>
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<td colspan="2"><span style="font-family: Verdana; color: #000000; font-size: x-small;"><select name="q[15]"><option value="Please Select One of the Following">Please Select One of the Following</option><option value="1-3 My symptoms are not that intense">1-3 My symptoms are not that intense</option><option value="4-5 My symptoms are pretty bad">4-5 My symptoms are pretty bad</option><option value="6-8 I feel awful much of the time">6-8 I feel awful much of the time</option><option value="9-10 I cant stand these allergies. I need help now">9-10 I cant stand these allergies. I need help now</option></select></span></td>
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<td colspan="2"><span style="font-size: 120%;">What kind of Allergy Treatments have you tried? *</span></td>
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<td colspan="2"><span style="font-family: Verdana; color: #000000; font-size: x-small;"><input name="q[3]" type="hidden" value="checkbox72906" /><input name="checkbox3[]" type="checkbox" value="Allergy Shots" /><span style="font-size: 120%;">Allergy Shots</span><br /><input name="checkbox3[]" type="checkbox" value="Medications like Claritin, Allegra" /><span style="font-size: 120%;">Medications like Claritin, Allegra</span><br /><input name="checkbox3[]" type="checkbox" value="Bronchial Inhaler sometimes" /><span style="font-size: 120%;">Bronchial Inhaler sometimes</span><br /><input name="checkbox3[]" type="checkbox" value="Alternative Allergy Care like NAET" /><span style="font-size: 120%;">Alternative Allergy Care like NAET</span></span></td>
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<td colspan="2"><span style="font-size: 120%;">What kind of Therapies do you Prefer? *</span></td>
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<td colspan="2"><span style="font-family: Verdana; color: #000000; font-size: x-small;"><input name="q[14]" type="hidden" value="checkbox72906" /><input name="checkbox14[]" type="checkbox" value="I prefer things I can use to heal myself. I am a do-it-yourselfer" /><span style="font-size: 120%;">I prefer things I can use to heal myself. I am a do-it-yourselfe</span>r<br /><input name="checkbox14[]" type="checkbox" value="Taking Nutritional Supplements (pills) works for me" /><span style="font-size: 120%;">Taking Nutritional Supplements (pills) works for me</span><br /><input name="checkbox14[]" type="checkbox" value="I use protein drinks, green drinks, tinctures" /><span style="font-size: 120%;">I use protein drinks, green drinks, tinctures<br /><input name="checkbox14[]" type="checkbox" value="I take prescription drugs, but I do not like them" />I take prescription drugs, but I do not like them<br /><input name="checkbox14[]" type="checkbox" value="I want to do Allergy Relief Clearings and eliminate my allergies permanently" />I want to use DNA Allergy Relief to eliminate my allergies permanently</span></span></td>
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<td colspan="2"><span style="font-size: 120%;">Your Name: *</span></td>
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<td colspan="2"><span style="font-family: Verdana; color: #000000; font-size: x-small;"><input maxlength="30" name="q[7]" type="text" /></span></td>
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<td colspan="2"><span style="font-family: Verdana; color: #000000; font-size: x-small;"> <span style="font-size: 120%;">E-mail Address: *</span> </span></td>
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<td colspan="2"><span style="font-size: 120%;">Free Consultation with Dr. Edwards *</span></td>
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<td colspan="2"><span style="font-family: Verdana; color: #000000; font-size: x-small;"><select name="q[11]"><option value="Please choose one of the following:">Please choose one of the following:</option><option value="I would like my Free Consultation via VideoMail">I would like my Free Consultation via VideoMail</option><option value="I prefer a Free Phone Consultation with the Doctor.">I prefer a Free Phone Consultation with the Doctor.</option><option value="Actually, I am just curious. I do not want a free consultation.">Actually, I am just curious. I do not want a free consultation.</option></select></span></td>
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<td colspan="2"><span style="font-family: Verdana; color: #000000; font-size: 120%;">Phone: For Free Consultation</span></td>
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