Do You Have Nature Deficit Disorder?

1
Enter your name* This field is required.
first name
last name
2
I have a garden or participate in a garden (window box, planter bed, community garden, farm) or animal shelter at least weekly.* This field is required.
yes
no
3
My last vacation was in a largely green (plants) or blue (water) location.* This field is required.
yes
no
4
My relationship with nature is an important part of who I am.* This field is required.
yes
no
5
I feel a sense of wonder and awe when I am in nature.* This field is required.
yes
no
6
I have or visit at least every week with a cat, dog, horse, fish, or other pets.* This field is required.
yes
no
7
I feel better when I visit a park, lake, or go outside with a pet.* This field is required.
yes
no
8
I _(fill in the blank)_ feel a special connection with nature, including animals, plants or places.* This field is required.
always
sometimes
never
9
I get most of my exercise by ____.* This field is required.
going to the gym
going outside to exercise
working out at home
walking to the kitchen
walking the dog
I don’t exercise deliberately
10
On average, I look at a screen for ____ hours daily.* This field is required.
0-1
1-3
4-8
9-12
12+
11
The view from my primary workspace is ____.* This field is required.
mostly natural
mostly man made
there is no view
12
I have a live plant close to where I sit or stand at work.* This field is required.
yes
no
13
I eat food that I've grown myself ____.* This field is required.
daily
at least weekly
at least monthly
at least annually
rarely or never
14
If your doctor advised you to spend more time in nature for your mental or physical health, would you do it?* This field is required.
yes, every day
yes, every other day
yes, once a week
maybe
no
15
I identify as* This field is required.Your response helps us better understand who is interested in EcoMedicine and will not be tied to you.
male
female
prefer not to say
other
16
I am* This field is required.Your response helps us better understand who is interested in EcoMedicine and will not be tied to you.
younger than 20 years
20-29 years
30-39 years
40-49 years
50-59 years
60-69 years
70+ years
17
I have been diagnosed by a medical professional withYour response helps us better understand who is interested in EcoMedicine and will not be tied to you.
anxiety
autism
depression
brain injury
attention deficit disorder
asthma
bipolar disorder
chronic pain
chronic stress
eating disorders”
high blood pressure
high blood sugar
high C-reactive protein (inflammation)
high LDL cholesterol
migraines
multiple chemical or food sensitivities
myopia (nearsightedness)
schizophrenia
vitamin D deficiency
sleep issues
none of these
18
totalscore
19
low
20
medium
21
high
22
risk level
23
risk level description
24
Enter your email address* This field is required.We'll use this address to send you your nature deficit results and offer you next steps on your journey to becoming healthier and more in harmony with nature, and to enjoying it more. People at low risk of Nature Deficit Disorder are happier, live longer, and are less likely to develop stress-related medical problems, like obesity, diabetes, immune-disorders and heart disease. Thank you so much for completing the survey! Your responses will not be connected to you in any way, nor given to any third party. Completing this survey means that you understand and agree to this disclaimer.
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