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Action Form: How To Cut Down On Stress

If you had a medical diagnosis, how difficult was it to get a correct one?
Don't Know Easy Difficult Impossible

What kind of experience have you had with the medical profession?
Don't Know Bad Good Excellent

If you used a alternative practitioner, what kind of experience did you have?
Don't Know Bad Good Excellent

What did you find worked for you?
Stress Reduction Vitamins Herbs Diet Change
Prescription Drugs Exercise Time-Off Body Work

Who would you like to be informed about this subject?
Medical Associations Government Regulatory Agencies Elected Representatives Drug and Supplement Manufacturing Companies


What following conditions do you think apply to you. (Check anything that might apply)

asthma chronic muscular tension chronic stress
eating disorder high blood pressure infertility
perfect wife ulcer


Check off any of the following items that you ingest.

calcium-magnesium chicken fish
fresh fruit fruit junk food
magnesium vegetable vitamin-C
whole grains


Check off any of the following therapies or procedures you use.

assertiveness training course dancing HYPNOSIS
massage meditation MENTASTICS
relaxation techniques relaxation exercises


Make your imput count. The information you submit will be compliled with all other submissions and used to activate for positive change in women's health.

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