Latex Allergy Survey

The petition

This pettition was created to get an estimate of how many people nationwide suffer from allergic reactions to Latex products. Specifically, these results will be used towards the banning of Latex products from the foodservice industry nationwide.

Sign the petition

Fields marked  *  are required.

* Full Name:
* Email:
* Phone:
* US State:	SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
* Age:	Your Ageless than 2121 to 2930 to 3940 to 4950 to 5960 to 6970 to 7980+
* Profession:
Do you or someone you know suffer from a latex allergy? :
	Yes
	No
Do you get sick after eating at a restaurant that uses latex gloves to cook or prep their food? :
	Yes
	No
Do you stop breathing or have asthma symptoms after inhaling the oder of products containing latex? :
	Yes
	No
Please select all the symptoms you feel after inhaling or ingesting any latex::
	Vomiting
	Diarrhea
	Difficulty Breathing/Asthma
	Sore Joints/Muscles
	Dizziness/Vertigo
	Nausea
	Anaphylaxis
	Sore Throat
	Swelling
Comments:
	Display my name as anonymous on the signatures list
	Yes, I want iPetitions to contact me on similar campaigns or petitions.

 

The views expressed in this petition are solely those of the petition's sponsor and do not in any way reflect the views of iPetitions. iPetitions is solely a provider of technical services to the petition sponsor and cannot be held liable for any damages or injury or other harm arising from this petition. In the event no adequate sponsor is named, iPetitions will consider the individual account holder with which the petition was created as the lawful sponsor.