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Action Form: Miscarriage: The Need For Support

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)

aftermath of pregnancy loss backache digestive upsets
early miscarriage feelings of emptiness and loss feelings of anger
full-blown depression grief following miscarriage grief
GRIEVING headache irritability
loss of confidence loss of appetite mild depression
MISCARRIAGE need for sympathy pangs of grief
pregnancy loss premature births sense of shock
sense of failure upsets weeping spells


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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