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-----Original Message-----

From: debbiedunc@...

Sent: Sun, 10 Dec 2006 11:51 PM

Subject: [ ] celiac survey from middle school student

Please complete my survey for my science project on Celiac disease.

(If you are completing the project for your child, please remember that "you" refers to the

person with celiac disease.)

1. In what year were you born? 1981

2. What age were you when you first started showing symptoms of celiac disease? 21

3. At what age were you diagnosed with this disease? 22

4. What do you think triggered celiac disease for you? Moving from New York to San Francisco

5. Do you live near a bakery? No

6. Have you or a household member ever worked at one of the jobs below?

Check all that apply.

O Pet store YES Bakery O Grocery store O Plant nursery

O Farm O Veterinarian

7. What were your hobbies before celiac disease? Same as they are now, working out, baking, cooking

8. Describe the area in which you live.

O Desert O Forest YES Suburban O City

O Lakeside O Other, please describe _______________________

9. Describe your neighborhood. Please fill in the dot that applies.

O Apartment O Townhouse O Farm

O Houseboat O Trailer O Other, please describe _HOUSE____________________

10. About how often was your bedroom vacuumed or the floor cleaned before you were

diagnosed with celiac disease? ________ONCE EVERY TWO WEEKS__________________

11. About how many hours or minutes per day do you keep your bedroom window (or

windows) open in warm weather? ______3 HOURS__________

in cold weather? _________NEVER___________

12. Does anyone else in your family have celiac disease? If so, what is the person's

relationship to you? ______NOBODY HAS BEEN DIAGNOSED________________________________________

13. I would like to know about pets that you have had or still have. Please fill out this

table: (add text on another page if necessary)

What animal was it? A DOG How many were there? 1 How long did you have the pet? 17 YEARS

How old were you? 10 Who took care of it? MY FAMILY Where did it sleep? IN THE LIVINGROOM

14. If you took care of a pet, what did you do to take care of it and for which pet? TOOK HIM FOR WALKS AND FED HIM

15. Please describe the types of food your pet ate. If your pet ate food that you bought, if

you remember the brand name, please list it. DONT REMEMBER THE BRAND...IT WAS SOLID DOG FOOD

__________________________________________________________

14. Are you allergic to anything other than gluten? Please describe.

_____CATS, TREES, GRASS, HAMSTERS, HORSES, RABBITS, DUST MITES_____________________________________________________

15. Does your family (that you live with) have animals other than pets? If so, please

describe the type of animals, how many of each kind (approximately), when your family

had them, and where were they kept. _____________________________

__________________________________________________________

__________________________________________________________

16. Have you ever slept with your pet or an animal in the same room? If so, please

describe the pet or pets, time periods, and sleeping arrangement: ________NO_____

__________________________________________________________

__________________________________________________________

If you would like to receive the summarized results of this survey, please let me know your

name and email or mailing address.

Thank you very much for helping with my science project!

L. Sakov, 722 Elm St., San , CA 94070 (650) 802-8697, (Central Middle

School, San , 6th grade) sarahsakovhotmail

Check out the new AOL. Most comprehensive set of free safety and security tools, free access to millions of high-quality videos from across the web, free AOL Mail and more.

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> Subject: [ ] celiac survey from middle school student

>

>

> Please complete my survey for my science project on Celiac disease.

>

> (If you are completing the project for your child, please remember

that " you " refers to the

> person with celiac disease.)

>

> 1. In what year were you born? 1976

>

> 2. What age were you when you first started showing symptoms of

celiac disease? 3

>

> 3. At what age were you diagnosed with this disease? 3

>

> 4. What do you think triggered celiac disease for you? Drinking

contaminated well water.

>

> 5. Do you live near a bakery? I guess not.

>

> 6. Have you or a household member ever worked at one of the jobs below?

> Check all that apply.

>

> O Pet store YES(Husband) Bakery YES(Mother) Grocery store O Plant

nursery

> O Farm O Veterinarian

>

> 7. What were your hobbies before celiac disease? Playing with dolls,

sewing, playing with toy cars.

>

> 8. Describe the area in which you live.

>

> O Desert O Forest YES Suburban O City

> O Lakeside O Other, please describe _______________________

>

> 9. Describe your neighborhood. Please fill in the dot that applies.

>

> YES Apartment O Townhouse O Farm

> O Houseboat O Trailer O Other, please describe

>

> 10. About how often was your bedroom vacuumed or the floor cleaned

before you were

> diagnosed with celiac disease? ________Guessing ONCE EVERY

WEEK__________________

>

> 11. About how many hours or minutes per day do you keep your bedroom

window (or

> windows) open in warm weather? ______12 HOURS__________

> in cold weather? _________3___________

>

> 12. Does anyone else in your family have celiac disease? If so, what

is the person's

> relationship to you? ______NOBODY HAS BEEN

DIAGNOSED________________________________________

>

> 13. I would like to know about pets that you have had or still have.

Please fill out this

> table: (add text on another page if necessary)

> What animal was it? Several CATS, Several BUNNIES How many were

there? 4 cats, 3 Bunnies How long did you have the pet? cats, varied-

2 now have had for 10 years Bunnies- 2 years, 1 year, 6 months, 8

years (and i still miss him) 1 hamster- 1 year, some short lived fish,

2 finches.

> How old were you? 10-now Who took care of it? ME and MY FAMILY

Wheredid it sleep? 1 Bunny, slept outside 1 House Rabbit, slept inside

in spare room 2 House Rabbits, slept inside in my bedroom. Cats- sleep

indoors, wherever they please. (recently under the christmas tree)

>

>

>

>

>

> 14. If you took care of a pet, what did you do to take care of it

and for which pet? Cleaned cages or bunny litter boxes, groomed

bunnies, fed, took on walks in park. Cats- clean litter boxes, groom,

bathe, feed. Birds and Hamster- clean cage, feed.

>

> 15. Please describe the types of food your pet ate. If your pet ate

food that you bought, if

> you remember the brand name, please list it. Bunnies ate bunny food

in a smallish bag from pet store and TIMOTHY HAY. Cats have had many

kinds of food- current cats like Pet Promise best.

> __________________________________________________________

>

> 14. Are you allergic to anything other than gluten? Please describe.

> _____The stupid tree outside my window that pollinates at night.

also allergic to bananas and chocoloate and jasmine tea (mild-

headaches only)

>

> 15. Does your family (that you live with) have animals other than

pets? If so, please

> describe the type of animals, how many of each kind (approximately),

when your family

> had them, and where were they kept. -- My husband and I currently

have the same pets.

> 16. Have you ever slept with your pet or an animal in the same room?

If so, please

> describe the pet or pets, time periods, and sleeping arrangement:

YES. Cats now sleep wherever they please, including next to me or at

our feet at night. 2 House BUNNIES (dwarf) used to live in my bedroom

and attached walk in closet (freely). They did not sleep on the bed

with us, although one would occasionally hop on the bed during the day.

>

> If you would like to receive the summarized results of this survey,

please let me know your

> name and email or mailing address.

>

> Thank you very much for helping with my science project!

>

> L. Sakov, 722 Elm St., San , CA 94070 (650) 802-8697,

(Central Middle

> School, San , 6th grade) sarahsakov@...

>

>

>

> ________________________________________________________________________

> Check out the new AOL. Most comprehensive set of free safety and

security tools, free access to millions of high-quality videos from

across the web, free AOL Mail and more.

>

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Share on other sites

>

> Please complete my survey for my science project on Celiac disease.

>

> (If you are completing the project for your child, please remember

that " you " refers to the

> person with celiac disease.)

>

> 1. In what year were you born? 1977

>

> 2. What age were you when you first started showing symptoms of

celiac disease? 24

>

> 3. At what age were you diagnosed with this disease? 27

>

> 4. What do you think triggered celiac disease for you? A bad flu,

possibly quitting smoking.

>

> 5. Do you live near a bakery? No

>

> 6. Have you or a household member ever worked at one of the jobs

below?

> Check all that apply.

>

> O Pet store O Bakery O Grocery store O Plant nursery

> X Farm O Veterinarian

>

> 7. What were your hobbies before celiac disease? Violin, Embroidery,

baking.

>

> 8. Describe the area in which you live.

>

> O Desert O Forest O Suburban X City

> O Lakeside O Other, please describe _______________________

>

> 9. Describe your neighborhood. Please fill in the dot that applies.

>

> X Apartment O Townhouse O Farm

> O Houseboat O Trailer O Other, please describe _____________________

>

> 10. About how often was your bedroom vacuumed or the floor cleaned

before you were

> diagnosed with celiac disease? __Every two weeks___________

>

> 11. About how many hours or minutes per day do you keep your bedroom

window (or

> windows) open in warm weather? __24_______

> in cold weather? _6______________

>

>

> 12. Does anyone else in your family have celiac disease? If so,

what is the person's

> relationship to you? _____My Mother_________________________

>

>

> 13. I would like to know about pets that you have had or still

have. Please fill out this

> table: (add text on another page if necessary)

> What animal was it? Cats How many were there? Between 1 and 7, over

the years. How long did you have the pet? I have always had cats.

> How old were you? Since I was a baby Who took care of it? Me Where

did it sleep? On my bed

>

>

>

>

>

> 14. If you took care of a pet, what did you do to take care of it

and for which pet? Feed and litter box for cats.

>

> 15. Please describe the types of food your pet ate. If your pet ate

food that you bought, if

> you remember the brand name, please list it.

> _______________Purina, Science Diet_______________________

>

> 14. Are you allergic to anything other than gluten? Please describe.

> _________eggs________________________

>

>

> 15. Does your family (that you live with) have animals other than

pets? If so, please

> describe the type of animals, how many of each kind (approximately),

when your family

> had them, and where were they kept. _____No_____________________

> _________________________________________________________________

> _________________________________________________________________

>

> 16. Have you ever slept with your pet or an animal in the same room?

If so, please

> describe the pet or pets, time periods, and sleeping arrangement:__

> ___the cats always sleep with me

________________________________________________________

> _________________________________________________________________

>

> If you would like to receive the summarized results of this survey,

please let me know your

> name and email or mailing address.

>

> Thank you very much for helping with my science project!

>

> L. Sakov, 722 Elm St., San , CA 94070 (650) 802-8697,

(Central Middle

> School, San , 6th grade) sarahsakov@...

>

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From: "debbieduncan94305" <debbiedunc@...>Reply- To: Subject: [ ] celiac survey from middle school studentDate: Mon, 11 Dec 2006 04:51:39 -0000

Please complete my survey for my science project on Celiac disease.(If you are completing the project for your child, please remember that "you" refers to the person with celiac disease.)1. In what year were you born?19982. What age were you when you first started showing symptoms of celiac disease?53. At what age were you diagnosed with this disease?54. What do you think triggered celiac disease for you?lots of mving that caused stress?5. Do you live near a bakery?no6. Have you or a household member ever worked at one of the jobs below? Check all that apply.O Pet store O Bakery O Grocery store O Plant nurseryO Farm O Veterinarian7. What were your hobbies before celiac disease?drawing, making crafts8. Describe the area in which you live.O Desert O Forest O Suburban Ox City O Lakeside O Other, please describe _______________________9. Describe your neighborhood. Please fill in the dot that applies.O xApartment O Townhouse O FarmO Houseboat O Trailer O Other, please describe _____________________10. About how often was your bedroom vacuumed or the floor cleaned before you were diagnosed with celiac disease? _____2/week_____________________11. About how many hours or minutes per day do you keep your bedroom window (or windows) open in warm weather? ___always_____________in cold weather? _______always_____________ 12. Does anyone else in your family have celiac disease? If so, what is the person's relationship to you? __________no____________________________________13. I would like to know about pets that you have had or still have. Please fill out this table: (add text on another page if necessary)What animal was it? How many were there? How long did you have the pet?How old were you? Who took care of it? Where did it sleep?14. If you took care of a pet, what did you do to take care of it and for which pet?15. Please describe the types of food your pet ate. If your pet ate food that you bought, if you remember the brand name, please list it. __________________________________________________________ 14. Are you allergic to anything other than gluten? Please describe. _______________too much dairy causes problems___________________________________________15. Does your family (that you live with) have animals other than pets? If so, please describe the type of animals, how many of each kind (approximately), when your family had them, and where were they kept. _____________________________ __________________________________________________________ __________________________________________________________16. Have you ever slept with your pet or an animal in the same room? If so, please describe the pet or pets, time periods, and sleeping arrangement: _____________ __________________________________________________________ __________________________________________________________If you would like to receive the summarized results of this survey, please let me know your name and email or mailing address.Thank you very much for helping with my science project! L. Sakov, 722 Elm St., San , CA 94070 (650) 802-8697, (Central Middle School, San , 6th grade) sarahsakovhotmail

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