Internet Study - Is Low Vitamin C Intake a Risk Factor for Heart Disease

Heart patients please take our survey.

Objective: Verify and monitor the importance of vitamin C intake and heart disease.

Incentive: Each month, a random entry will be chosen to receive a free jar of Tower Heart Technology pillless Pauling therapy.

Please answer the following questions.

Age:
Weight (lbs):
Sex: M F
Family History of Heart Disease: No Father Mother Both sides
Your CVD (Heart Disease) History: No Angioplasty Bypass Heart Attack
Year first diagnosed:
Angina (chest) Pain: No Some Constant
Prior Vitamin C intake:
(Daily average 5 years prior to diagnosis. RDA 60mg)
Vitamin C intake now:
(After diagnosis. RDA 60mg)
Lp(a) (recent) Score:
Total Cholesterol (recent) Score:


HEART PATIENT CONTACT INFORMATION
Name:
Street Address:
City/State/Zip:
Email:
Phone:
Hospital:
Sign up for Newsletter: Yes No

Request more information

The results of this survey will be collected daily, and a summary posted monthly. Please sign up for our quarterly Pauling Therapy newsletter.

Pauling Therapy