Chronic Illness Resources Feedback

First Name

Last Name

Phone *

Email *

City

State

What chronic illness or pain issues do you deal with? (Be as general or as specific as you want.)

What would be resources that you would find helpful? For example: book on how to stay positive, weekly positive thoughts/devotions email, daily or weekly text encouragement, videos on these topics?

Do you prefer to learn / interact with information by reading text or watching video?

Are you already a part of an online community for encouragement in dealing with chronic illness or pain? If yes, what group / what kind of group? (FB group or private community?)

Would you be interested in being a part of this kind of community? If yes, would you prefer a Facebook Group or a private community (that you would access through a link and would look very similar, just wouldn't be hosted on Facebook)?

Do you have any interest in working with me as your mindset coach to help you develop a positive action mindset for your health challenges? (This isn't for everyone, just asking!) ;)

Can you think of anything else that would help you in your daily health journey?

Thank you so much for filling this out and letting me know how I can serve you! I will keep you posted as I add resources to encourage you in your daily life while navigating chronic illness or pain. Hope you have one of your "good days" today! Much Love--Erica

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