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1-minute Survey for Parents with Special Kids
Impeccable Innovations Pvt Ltd (IIPL) - We are 6+ year old Social-oriented AgriHealthFood Startup from Bangalore-66, Karnataka, India.
We are working with kids with autism and how GFCFSF diet is impacting their general health.
GFCFSF means - Gluten-free, Casein-free, Soy-free
Below are some of the link videos of our parent-outreach work:
https://youtube.com/playlist?list=PL0BFSUNC82_wAqOFcaC7opUX364uLBZzK
You can also visit IIPLeM - India's first e-marketplace for kids with Autism & Cerebral Palsy.
www.ImpeccableInnovations.com
You can write to us at:
sportify@impeccableinnovations.com
Request you to fill this short 1-minute survey so that we can serve you better.
Thanks & Regards
Ft. Arnab Guha
Founder, Chief Food Scientist, IIPL.
+91-9611186720
https://www.linkedin.com/in/ft-arnab-guha-sportify-gluten-free-2a3a88b/
* Indicates required question
Email
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Your email
What is your WhatsApp number?
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Your answer
Which country you are from?
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Your answer
What is your name?
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Your answer
What's the gender of your special child?
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Choose
Girl
Boy
How many children do you have?
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Choose
0
1
2
3
More than 3
What is the name of your child with disorder?
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Your answer
Which disorder has been diagnosed by doctor for your child?
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Choose
Autism
Cerebral Palsy
ADHD
What is the level of the disorder in your child?
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Choose
Severe
Moderate
Mild
Borderline
What is the current age of your child?
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Choose
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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18
More than 18 years of age
Have you started with any therapy for your child with autism symptoms?
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Choose
Yes
No
Would you like to know more about nutritious GFCFSF Diet?
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Choose
Yes
No
Do you want to tell any further info or ask any question?
Your answer
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