Re: Fw: Vaccination Questionnaire (email)]

[Guest guest]

I got it but it was an attached word doc and I don't have word on my

laptop which I use when traveling.

I can read it but can't cut and paste it or alter it.

Can you paste it into the email?

Meryl - do you know this person?

Sheri

At 05:12 AM 12/3/2008, you wrote:

>This was posted on one of dh's lists. I'm surprised not to have seen it on

>the AVN list, but am forwarding for anyone who wishes to help. The person

>seeking information is a Naturopath in and describes himself as the

>keynote speaker of DVAC (The Drug and Vaccination Awareness Coalition). He

>s seeking 10,000 respondents and will be

>writing a book.

>

>-------Original Message-------

>

>

>

>Vaccination Questionnaire

>

>- Presented by Alan Ostrowsky and the Drug and Vaccination Awareness

>Coalition (DVAC)

>

>Please note: Please fill out one questionnaire per person. Each

>questionnaire may be completed by the person mentioned in the response or on

>behalf of an individual. Such as a parent on behalf of a child.

>

>I sincerely thank you for your efforts in participating in this study. Your

>input will contribute to a clearer understanding of the effects of

>Vaccinations.

>

>

>PLEASE FORWARD YOUR COMPLETED QUESTIONNAIRE T0: Alan Ostrowsky 10 Grace

>Street ia 3087 , Australia

>

>QUESTION (1) Personal Details: Sex: Male Female

>Age: Birth date:

>Weight:(kg) Height:(cm)

>

>QUESTION (2) Have you been Vaccinated? Yes No

>

>QUESTION (3) If " Yes " , then up to what age and what vaccines did you receive

>?

>

>QUESTION (4) Have you suffered or are suffering from any of the following

>conditions?

>Asthma Chronic Fatigue

>Acne Chronic Low Immunity

>Eczema Regular Colds & Flu

>Psoriasis Sinus troubles

>Vitilago Tonsillitis

>Hives Migraines

>Hayfever

>Ear Infections and/or Glue ear

>

>QUESTION (5) Have you suffered or are suffering from any of the following

>conditions?

>Bloating Poor digestion

>Candida/ Irritable bowel Yeast Infections

>Constipation Gall stones

>Flatulence Food cravings

>

>QUESTION (6) Have you suffered or are suffering from any of the following

>conditions?

>AIDS/HIV Cancer

>Anaemia Benign Tumours

>Arthritis (Osteo) Skin Cancer

>Arthritis (Rheum) High Cholesterol

>Diabetes High Blood Pressure

>Multiple Sclerosis Hepatitis

>

>QUESTION (7) Have you suffered or are suffering from any of the following

>conditions?

>Autism Obsessive Compulsive

>ADD/ADHD Paranoia

>Bipolar Schizophrenia

>Depression Seizures/Convulsion s

>

>QUESTION (8) Are you suffering from any other health condition/s? NO

>If " Yes " please state.

>

>QUESTION (9) Are you taking any regular Pharmaceuticals? NO

>If " Yes' please state type/s

>

>QUESTION (10) Have you lost a Child to SIDS NO YES Age:

>

>If so, was he/she vaccinated? NO YES

>

>QUESTION (11) How do you think that you rated academically amongst your age

>group?

>Excellent Very High Good

>Average Below Ave Poor

>

>QUESTION (12) How do you rate your Short term memory?

>Excellent Very High Good

>Average Below Ave Poor

>

>QUESTION (13) How do you rate your Long term memory?

>Excellent Very High Good

>Average Below Ave Poor

>

>QUESTION (14) Have you broken any objects in an aggressive manner?

>Never Once 2 - 3 times

>4 - 6 times 6 - 10 times 10 times +

>

>QUESTION (15) How would you classify yourself in regards to verbally abusing

>others? Please include other family members, friends, teachers and sporting

>coaches in the thought process.

>Never Rare Occasion Once per week

>2 -3 times a week 3 - 6 times a week 6 times + a week

>

>QUESTION (16) How would you classify yourself in regards to physically

>abusing others? Please include other family members, friends, teachers and

>sporting coaches in the decision.

>Never Rare Occasion Once per week

>2 -3 times a week 3 - 6 times a week 6 times + a week

>

>THANK YOU FOR COMPLETING THE VACCINATION QUESTIONNAIRE. YOUR HELP IS

>SINCERELY APPRECIATED.

>Cheers ALAN OSTROWSKY

>Please Email your response to alanostrowsky@ dodo.com. au or By post to:

>Alan Ostrowsky 10 Grace Street ia 3087 Australia

>

>

>

>

>

>

>------------------------------------

>

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