Please fill out this questionnaire if you have eliminated carrageenan from your diet and noticed changes in your health.  By filling out this questionnaire, you will help us better understand the degree and severity of carrageenan-related symptoms in the general public.

Rest assured that your responses will be used for research purposes only and your identity, personal information and answers will be held in strict confidence and never made public.

  • 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: