Water Rehydration Survey
Please answer the following questions about your water intake and hydration habits.
How many glasses of water do you drink per day?
Option 1
Option 2
Option 3
Do you feel adequately hydrated throughout the day?
Option 1
Option 2
Option 3
Do you consume other beverages to stay hydrated?
Option 1
Option 2
Option 3
What effects do you notice when you are well hydrated?
Option 1
Option 2
Option 3
Please describe any other effects you have noticed.
Submit
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