Please fill out this questionnaire if you have eliminated carrageenan from your diet and noticed changes in your health. Your identity and personal information will be held in strict confidence and never made public.

For research purposes, the results are shared with the medical researchers who helped create this questionnaire, in order to better understand the degree and severity of carrageenan-related symptoms in the general public.

We ask that you include your contact information for verification purposes and so that we can contact you in case there are questions about your entry.

  • We will never share, rent or sell your personal information or email address. Please provide your email address for follow-up and verification purposes. We will not be able to count your questionnaire if you do not enter your email address. If you do not have an email address, please provide a phone number or physical address.

    If you answered a. or b., please answer the additional questions below.
  • On a scale of 1-5, with 1 being “terrible” and 5 being “excellent”, how would you rate the following:

  • If you haven’t already, please fill out the Carrageenan Consumer Survey.