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STILL'S DISEASEInformation SurveyThe purpose of this survey is to collect information from you about your experiences with Stills Disease. Since this is such a rare disease and very little research has been done on it, we feel those who are suffering with the disease are a wealth of information. Any information collected will be held in the strictest of confidence. At no time will names or medical information be released. This information will be collected for statistical purposes, and these statistics will be published in our newsletter periodically. If there is a question you do not wish to answer or if you do not wish to give your name, that is ok also. This survey is broken up into 3 parts: (1) General Information, (2) Pre-treatment and diagnosis experience (3)Treatment and Life Style changes experience. Thank you very much for your participation in this survey. Jean Clabough RN This survey is divided into the following sections:
Fill out the information in each section as requested. You may either print out this form and mail it to us, or just press submit at the end of this form. You will receive a confirmation message from us shortly.
Jean Clabough RN.
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