Mandatory Questions

1. What year did you graduate?

2. What Chiropractic College did you attend?
Please select one --USA-- Cleveland Chiropractic College (Kansas) Cleveland Chiropractic College (Los Angeles) Life Chiropractic College Life Chiropractic College West Logan College of Chiropractic National University of Health Sciences (NCC) New York Chiropractic College Northwestern Health Sciences University Chiropractic Palmer College of Chiropractic Palmer College of Chiropractic West Parker College of Chiropractic Sherman College of Straight Chiropractic Southern California University of Health Sciences (LACC) Texas Chiropractic College University of Bridgeport College of Chiropractic Western States Chiropractic College --Australia-- U. Melbourne School of Chir., Osteopathy & Comp. Medicine Macquarie University Centre for Chiropractic --Brazill-- Aspeur/Feevale --Canada-- Canadian Memorial Chiropractic College University Du Quebec Trois Rivieres - School of Chiropractic --Denmark-- University of Southern Denmark --France-- French Chiropractic Inst. (Inst. Franco-European de Chiropratique) --Japan-- University Chiropractic Unit - Japan --Korea-- Hanseo University --New Zealand-- New Zealand College of Chiropractic --South Africa-- Technikon Natal Technikon Witwatersrand --United Kingdom-- Anglo-European College of Chiropractic Mctimoney Chiropractic College University of Glamorgan School of Applied Sciences University of Surrey European Institute of Health and Medical Sciences

3. How long have you been using Glyconutrients in your practice?
Please select one I do not Less than 1 year 1-4 years 5+ years

4. Would your chiropractic treatment be more effective with patients that are replacing the missing nutrients that enhance cell-to-cell communications?
Please select one Yes No Need more information

5. Would any other group of doctors and patients benefit more from this new discovery than those who are receiving chiropractic care?
Please select one Yes No

6. If you answered yes to 5 above, please list the other group of doctors and/or patients who would benefit.  Otherwise, please skip to #7 below.
Please select one Acupuncturist Cardiologist Endocrinologist General Practitioner Internist Neurologist Neurosurgeon Ob/Gyn Oncologist Ophthalmologist Pediatrician Physical Therapist Psychologist Social Worker

7. I would like more information on Glycobiology and function of Glyconutrients.
Please select one Yes No

8. If you answered "yes" to #7 above and are a chiropractor, please enter your license number and choose one or both of the options below. If you answered "no", please click submit at the bottom of the page.

Chiropractic License Number

9. Please include my office in future surveys regarding Glycobiology and Glyconutrition.
Please select one Yes No