Request an IBD Buddy Question Title * 1. What is your age? 16-18 19-24 25-34 35-44 45-54 55+ OK Question Title * 2. Are you male or female Male Female OK Question Title * 3. Do you have Crohn's or Colitis? Crohn's Ulcerative Colitis Other (please specify) OK Question Title * 4. Have you had surgery? Yes No Other (please specify) OK Question Title * 5. Do you have an ileostomy or colostomy? Yes No Other (please specify) OK Question Title * 6. Are you taking medication that needs to be injected or administered as an infusion? Yes No Other (please specify) OK Question Title * 7. How long have you had IBD? Just diagnosed less than 2 years 2-4 years 5-10 years more than 10 years Other (please specify) OK Question Title * 8. What characteristics are important to you that your buddy has: Similar age Same sex Had surgery Has ileostomy/colostomy On medication that needs to be injected or administered as an infusion Other (please specify) OK Question Title * 9. What is your availability like? Mornings Afternoons Evenings Weekends Other (please specify) OK Question Title * 10. Please leave your name, number and email address below and we will contact you! OK DONE