Allergies•Self-Test

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AllergiesMila McManus MD2019-02-07T10:17:55-06:00

Allergy

This Allergy Questionnaire lists symptoms and other factors most commonly found in people suffering from some form of allergy. By answering this questionnaire, your scores will determine whether or not you might have some form of allergy.

Do you have fatigue?

Yes

Do you have frequent headaches?

Yes

Do you have sneezing, post nasal drainage or itching of the nose?

Yes

Do you experience dizziness?

Yes

Do you get sinus infections every year?

Yes

Do your eyes itch, water, get red or swell?

Yes

Do you have recurrent ear infections?

Yes

Do you have asthma, wheezing, tightness in the chest or chronic cough?

Yes

Do you have skin problems such as eczema, skin rashes, itching or hives?

Yes

Do you have indigestion, bloating, diarrhea or constipation?

Yes

Do your symptoms worsen during a particular season, such as the spring or fall?

Yes

Do your symptoms change when you go indoors or outdoors?

Yes

Are your symptoms worse in parks or grassy areas?

Yes

Are your symptoms worse in the bedroom after going to bed, or in the morning upon arising?

Yes

Do you awaken in the middle of the night with congestion?

Yes

Are your symptoms worse when you come into contact with dust?

Yes

Are your symptoms worse around animals?

Yes

Do you have any blood relatives with allergies?

Yes

Do you have mood swings or feel depressed for no particular reason?

Yes

Do you have recurrent yeast infections, jock itch, Athlete’s foot or fungus under your toenails?

Yes

Do you develop any symptoms after eating or drinking certain foods?

Yes

Do you sometimes feel stimulated, hyperactive or fatigued after meals?

Yes

Do you have dark circles under your eyes?

Yes

Do you have a crease across the bridge of your nose?

Yes

Total*

Instructions:If your score is less than 8 points, it is not likely that you have allergies. Scoring between 9-12 points indicates allergy as a possibility. A score between 13 and 30 points means that allergy is probable, while scoring over 30 points would suggest that allergy is very likely.

If the results seem to point in a certain direction, call us at 281-298-6742 option 1 or email info@twihw.com so that discuss the best program for you. The Woodlands Institute can help you turn these symptoms around. You deserve to feel your best!

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