Limit Your Answers
Most Important – Only answer what you want to answer.
Why Limit? – These forms often have very little to do with your specific treatment. The data is often used for research, profiling, government reporting and predictive analytics without your consent.
Choose – Use your best judgment as to what information, if any, you want to share.
Examples – The following are a few examples of questionnaires CCHF has received from patients, including one with patient responses we have chosen to show, as an example of what you can do.
![](https://www.cchfreedom.org/wp-content/uploads/2023/09/University-Hospitals-Questionnaire-791x1024.jpg)
![](https://www.cchfreedom.org/wp-content/uploads/2023/09/Adolescent-21-Questionairre1-791x1024.jpg)
![](https://www.cchfreedom.org/wp-content/uploads/2023/09/Medicare-ACO-Patient-Checklist-791x1024.jpg)
You can send your questionnaires to us. Unaltered forms are preferred, however, if the form is completed we will redact all personal information.