Follicular Lymphoma (FL): Healthy Days Patient Survey

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* 1. Are you diagnosed with Follicular Lymphoma (FL)?

No

Yes

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* 2. What stage is your diagnosis?

Stage I

Stage II

Stage III

Stage IV

I do not know

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* 3. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 4. What is your gender?

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* 5. In what state or U.S. territory do you live?

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* 6. What city or town is your treating physician located?