Survey

Your Name (required)

Your Email (required)

Please select your age range below
---18-1920-2930-3940-4950-5960-6970+

Please select your gender:
---MaleFemale

Please select your ethnicity
---American Indian or Alaska NativeAsianBlack or African American Native Hawaiian or Other Pacific Islander White

Are you a CNME-Graduate?
 Yes No

Where is the location of your practice?
---USA Canada

Where did you graduate from?

What degrees do you hold?
 ND  DO DC RN PA PT LAC MD OMD MSOM

What other publications do you read with natural medicine editorial?

Do patients read your copy of NDNR?
 Yes No

How often do you refer to back issues of NDNR?
---Daily Weekly Monthly Annually Never

Practice Information:

What percentages of your patients are Male/Female?
Male:

Female:

What percentage of your practice's income is based on the sale of supplements?
---0%1%-25%26%-50%51%-75%76%-100%

What is the monthly revenue produced by your supplement sales?

What is the primary clinical focus of your practice?

---Anti-Aging Anxiety/Depression/Mental Health Autoimmune/Allergy Medicine Bacterial/Viral Infections Botanical Medicine Cardiopulmonary MedicineDermatology EndocrinologyEnvironmental MedicineGastrointestinal Homeopathy Insomnia/Sleep Medicine Men's Health Mind/Body Nature Cure OncologyPain Medicine Pediatrics Women's Health

Which modalities do you utilize in your practice?
Acupuncture  Aesthetic medicine Compounded Pharmaceuticals  Herbal/Botanical Medicine Homeopathy Hydrotherapy  Injections IV Therapy Laser Treatments  Manipulation/Physical Medicine Nutrition Nutriceuticals Ozone Treatments  Other 

If you selected "other" please indicate here:

Additional Comments:

Please this enter the code below