Nutrition 216 - Arthritis, Joint Pain, and Fibromyalgia

Do you have arthritis?
OR
Do you suffer from joint pain?
OR
Do you have fibromyalgia?

Are you interested in learning some of the methods people have found to relieve arthritis, joint pain, and fibromyalgia, using foods, fruits, fruit juices, and beverages (NOT drugs)?

SECURE and CONFIDENTIAL
Request for Free Information on Arthritis, Joint Pain, Fibromyalgia
First Name:
Last Name:
Gender:
Age:
Occupation (describe so we can assess the degree of physical activity):
How long ago did you first notice the symptoms?:
Have you had any recent illness or injury? Describe:
Briefly, how would you describe your eating habits and the health quality of your food and drink?
Are you currently taking any prescription drugs? If so, what are they and for what problem? (example, lipitor for high cholesterol, etc):
Are you currently taking any vitamins or minerals or supplements? If so, what are they and for what reason? (example, Vitamin A for eczema, etc):
Anything else you want to tell us about your health problems?:
your E-Mail?:
Repeat your E-Mail?:

Entrance to College of Health and Nutrition


Copyright (c) 2009 by Gary and Bonnie Blank and EUI. ALL RIGHTS RESERVED.