Female Questionnaire
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This section deals with allergies and other adverse reactions to various substances, chemicals and foods.

Q800

If you are over 20 years old, do you have a history of allergies as an adult?
  • I am under 20 / don't know
  • No / I never or rarely suffer allergic reactions
  • Minor (1 or 2 mild allergies)
  • Moderate (several and/or regular allergies)
  • Major (allergies have been a serious issue for me)

Q801

Do you suffer from hay fever / allergic rhinitis?
  • Never had it / don't know
  • Probably had it/minor episode(s) now resolved
  • Major episode(s) now resolved
  • Current minor problem
  • Current major problem

Q802

Indoor allergies. Do you suffer when exposed to house dust, molds, animal dander, etc.?
  • No / don't know
  • Minor episodes now resolved
  • Major episodes now resolved
  • Current minor problem
  • Current major problem

Q803

Do you have a tendency towards producing excess mucus in your respiratory tract ("phlegm") or having chronic sinus congestion (runny/stuffy nose)?
  • No / don't know
  • Yes, moderate
  • Yes, severe

Q804

Have you ever suffered significantly or repeatedly from hives?
  • One or two minor incidents / don't know
  • No, never
  • A significant problem in the past only
  • Occasionally / moderately
  • Often / severely

Q805

How often do you sneeze or have sneezing attacks?
  • Never / almost never
  • Occasionally / I think I'm average / don't know
  • Moderate sneezing
  • Often / significant sneezing attacks

Q806

Does cigarette smoke cause allergy-like symptoms for you? For example, sneezing, coughing, watering/burning eyes, runny nose, congestion, breathing difficulty, headache.
  • No / don't know
  • Minor symptoms after prolonged exposure
  • Moderate symptoms after prolonged exposure
  • Moderate symptoms after a short time, later severe
  • Severe reaction to even small amounts of smoke

Q807

Do you suffer negative reactions to various chemicals, such as perfumes, insecticides, exhaust fumes, cleaning products, glues, paints? Symptoms might include, for example, dizziness, nausea, irritation, headache, breathing problems, fatigue.
  • No / don't know
  • Minor symptoms after prolonged exposure
  • Moderate symptoms after prolonged exposure
  • Moderate symptoms after a short time, later severe
  • Severe reaction to even small amounts of chemical

Q808

Are you over-sensitive to medicines at recommended doses? In other words, do you regularly experience side-effects, or do you find that smaller-than-recommended doses are enough?
  • I don't use pharmaceutical drugs / don't know
  • No, I am not sensitive
  • It has been suggested
  • Sometimes definitely
  • Very sensitive

Q809

Do you have any reactions or allergies to specific foods which improve if you avoid those foods?
  • No / don't know
  • Mild reaction to one or two foods
  • Mild reaction to several foods / severe to 1 or 2
  • Severe reaction to several foods

Q810

Are you lactose intolerant? Symptoms usually begin 30 minutes to 2 hours after consuming milk or dairy products and can include stomach pain and rumbling, bloating, gas, diarrhea, nausea.
  • Don't know
  • No, I know for sure that I am not
  • Moderately, resolved by lactase / consuming less
  • Severe problem; I must strictly avoid dairy

Q811

Do you have Celiac Disease, also known as Gluten Sensitivity, Gluten Allergy or Wheat Allergy?
  • Don't know
  • No, it has been ruled out
  • Probably, but unconfirmed
  • Mild/moderate - confirmed by doctor or lab test
  • Severe - confirmed by doctor or lab test
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  • name, age, and gender

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