THANK YOU! in advance for sharing your findings with us. This is an informal study - so your personal information will never be released without your consent. We are hoping to collect enough information to provide a general finding about the effects of prolonged use of bean sprouts. We suspect the news will be good.

If you have any questions - feel free to ask us anything! You can contact us through this form, or email directly at beansproutchronicles@gmail.com.

Name

First Name

Last Name

Email Address

Subject

Ask us or tell us anything!

Age

Gender

Health issues

For how long have you been taking sprouts?

What is your dosage? How much and how often.

Did you notice any changes in the following? If so, please share your experience with us.

Inflammation

Skin, hair and/or nails

Bowel movements

Mental clarity

Lab and/or test results (for example a CT scan or blood test)

Other

Is it ok to contact you in the future in the case of a follow up study?

We will never share your contact information and always ask your permission for anything that would require sharing your information. We love to hear from you, please keep us posted on your health over time!

YES

TELL US HOW YOU FEEL