-
Did you ever get a tick bite?
-
Was there a rash on the bite site?
-
Have you had unexplained fevers, sweats,
chills ?
-
Have you experienced any unexplained
weight change (loss or gain)?
-
Do you suffer from chronic (longer
than 6 months) fatigue?
-
Have you had unexplained hair loss?
-
Have you had systemic or chronic swollen
glands?
-
Do you battle a reoccurring sore throat?
-
Do you experience testicular pain/pelvic
pain?
-
Do you have unexplained menstrual irregularity
for months?
-
Do you have irritable bladder or bladder
dysfunction?
-
Do you have Sexual dysfunction or loss
of libido?
-
Do you have a constant upset stomach?
-
Do you have a long term change in your
bowel function (including constipation, diarrhea or both)?
-
Do you get chest pain or rib soreness?
-
Do you have chronic shortness of breath
or a cough?
-
Do you get heart palpitations, or pulse
skips beats?
-
Do you have chronic joint pain?
-
Do you have chronic muscle pain or
cramps?
-
Do you have twitching of the face or
other muscles?
-
Do you get frequent headaches?
-
Does your neck get stiff or creaks
and cracks?
-
Do you have a tingling, numbness, burning
or stabbing sensations?
-
Do you have stiffness of the joints
or back?
-
Do you get facial paralysis?
-
Do you get double, blurry vision or
get pain or floaters in the eyes?
-
Do you have buzzing, ringing or pain
in the ears?
-
Do you suffer from dizziness, poor
balance, increased motion sickness?
-
Do you often have tremors?
-
Do you get confused or have a difficult
time thinking?
-
Do you have increased difficulty with
concentration or reading?
-
Do you have short term memory loss?
-
Do you ever get disoriented?
-
Do you have difficulty with your speech?
-
Do you have mood swings, irritability,
depression?
-
Do you have disturbed sleep, too much
,too little, early awakening?
-
Do you have exaggerated symptoms or
worse hangover from alcohol?
