1. Gender:
Male
Female

2. Your Age:
Under 13
13-17
18-34
35-49
50-64
65 or older

3. I Have Been Diagnosed With:
Pediatric Fibromyalgia (FM)
Pediatric CFS/ME
CFS/ME
Fibromyalgia (FM)
FM & CFS/ME
Pediatric FM & CFS/ME
FM & Pediatric CFS/ME
Pediatric FM & Pediatric CFS/ME

4. How did you find FM/CFS/ME RESOURCES?
Friend Told Me
Link From Another Site
Through My Support Group
Search Engine
Other (please specify)

5. For what kind of information are you searching? Check all that apply.
Alerts
Articles
Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME)
Pediatric CFS/ME
Clinical Trials
Coping Tips
Disability Attorney
Disability Information
Doctor Information
Drug Information
FAQ's
Fibromyalgia (FM)
FM/CFS/ME Awareness
Newsletters
Support Groups

6. How will you use this information? Check all that apply.
Personal Use
Inform Family or Friends
Inform Medical Professional
Inform Support Group
Other (please specify)

7. How easily did you find the information you were looking for:
Select Here I was not able to find the information I wanted I was able to find the information in under 1 minute It took more than 5 minutes to find the information

8. How Often Do You Visit Us:
Select Here Daily Once a week or more 2 to 3 times a month Once a month Every 2-3 months This is my first visit

9. My favorite part of the site is...

10. What changes/additions to this site would you like to see?

OPTIONAL: If you have any questions, please fill in your name and email address and I will try my best to help you.

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