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Where should we send your results when you finish?

Tell us your best email address below..

First Name *

Last Name *

Phone *

Email *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

When did the Eczema first appear? *

As an adult.

As a child

As a baby

Who is the Eczema sufferer? *

Me

My Child

Another Individual Under Your Care

Which best describes the antibiotic exposure of your child? *

My child had at least one course of antibiotics before age 3

My child has never taken antibiotics

My child has taken antibiotics after age 3

Please choose the answer that best describes your child's stress levels *

My child is easily stressed and tends to be quite anxious

My child is quite happy and flexible, and not much bothers them

My child has experienced 1 or more trauma or high stress incidences.

How many courses of antibiotics have you taken in your life? *

I've had the occasional dose.

I've never needed to take any.

I've had so many I've lost count!

Which best describes the stress levels in your life? *

I am living with long term stressful situations.

I'm not really stressed about anything other than Eczema.

I've had 1 or more high stress episodes eg. grief, divorce or redundancy.

Do you remember if the Eczema started after any particular event? *

Yes, after an illness or infection

Yes, after a traumatic event

Yes, after vaccinations

No, nothing I can remember

When did you last have the water in your home tested for hardness and purity? *

Within the last 12 months

Within the last 3 years

I've never had my water tested.

What is your single biggest frustration when it come to Eczema. Please be as detailed as possible in your answer. *

If you were forced to choose only ONE group, which set of RELATED health concerns do you feel are most relevant? *

Arthritis/Joint Pains, Thyroid Issues, Diabetes, Frequent Skin Infections

Allergies, Asthma, Generalised Dry Skin, Dry Eyes, Dry Mouth,

Anxiety, Depression, Ear Infections, IBD/IBS/Crohns/Celiac, Autism/ ADHD

No other issues, only Eczema

Here Are Your Results

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Here Are Your Results

YOU QUALIFIED FOR A FREE GIFT!

Continue to claim...

Here Are Your Results

YOU QUALIFIED FOR A FREE GIFT!

Continue to claim...

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Look for an email form carolyn@eczemaacademy.com

The Eczema Academy

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