[shane-armstrong]

Why could the user not let the system know what environmental issues were involved?

Provide users with an input field with an optional brief description. Not only will this allow them to help clarify what you require, but it will also help to match them up with grammar, mentality, style of speech etc.

If executed correctly it could even become the de-facto standard by which users measure their conditions against others and the first step to having develop the links you want.

[persilj]

Yes, more input fields could be added, but it might be decided that, for some obscure reason, they won't be. What might the company's interface designer having friend, who has tendency to become seemingly depressed at times, think at that point?

Other interesting questions include, but are not limited to the following. How was the decision explained to the employees? What kind of opinion did medical advisor for the company have?