Male Questionnaire
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This section deals with unusual skin sensations, or lack of sensation.

Q128

Do you sometimes have a burning or tingling sensation on your face?
  • Don't know
  • Never
  • Occasional mild tingling or burning
  • Frequent mild / occasional strong tingling/burning
  • (Almost) constant strong tingling or burning

Q129

Do you sometimes experience pain on one or both sides of your face? It might be continuous pain, moderate shooting pain, or intense stabbing pain.
  • Don't know
  • No
  • Yes, it tends to be a constant pain
  • Moderate shooting pain
  • Sudden, severe stabbing pain

Q130

Have you experienced a gradual loss of sensation (numbness) in the arms or legs within the past year?
  • No / don't know
  • Yes, but it was an episode more than a year ago
  • Yes, but it is improving now
  • Slight numbness, stable or getting worse
  • Significant numbness, stable or getting worse

Q131

Do you have any numbness, burning, or tingling of the extremities (toes or fingers)?
  • No / don't know
  • Yes, a little on one hand or foot only
  • Yes, severe on one hand or foot only
  • Yes, a little on two or more hands/feet
  • Yes, severe on two or more hands/feet

Q132

Are there any areas of your body where you have experienced reduction in your sense of touch (numbness), or where you are unable to feel anything at all?
  • No / don't know
  • Yes, sometimes in one particular area
  • Yes, usually or always in one particular area
  • Yes, sometimes in more than one area
  • Yes, usually or always in more than one area

Q133

If you have experienced a loss or reduction in your sense of touch, when was it?
  • Don't know
  • In the past only, now resolved
  • It started more than 12 months ago
  • It started between 1 and 12 months ago
  • It started less than 1 month ago

Q134

Do you suffer from tenderness to touch that is made worse by (for example) bedsheets, socks or tight-fitting shoes? This increased sensitivity to pain is known as Hyperalgesia.
  • Don't know
  • No
  • Yes, somewhat
  • Yes, I have extreme sensitivity to touch

Q135

Do you have difficulty in telling (feeling) the difference between hot and cold?
  • Don't know
  • No
  • A little difficulty / sometimes
  • Definitely / always

Q136

Do you have any other skin sensations that can only be described as "strange"?
  • Don't know
  • No
  • Occasionally - a few times each year
  • Regularly - a few times per month
  • Frequently or (almost) always