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	Tell us what is important to you
	* 1. Please select the statement that most accurately describes your status: I have been diagnosed with Fibromyalgia or CFIDS. I have symptoms but do not have a medical diagnosis. I'm here on behalf of a loved one or friend. Does not apply (e.g., physician or other)
	* 2. How long have you been experiencing symptoms? 0 to 1 years 2 to 3 years 4 to 5 years 5+ years Does not apply
	* 3. Which ONE of the following symptoms is the most important to you to improve as quickly as possible? Constant Muscle/Joint Pain Unrelenting Fatigue Concentration Issues Sleep Deprivation Flu-Like Symptoms
	* 4. On a scale from 1 (least) to 10 (most) please tell us your level of frustration you are experiencing with your health and current treatment processes.
	1 2 3 4 5 6 7 8 9 10 LEAST MOST
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