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PLEASE ANSWER ANONYMOUSLY AS MUCH AS YOU WANT TO
THE FOLLOWING QUESTIONS... |
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How long had you have Morgellons? |
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Where do you have possibly contracted Morgellons? |
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What is your actual profession? |
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Did you spend many hours in nature or working in your garden? |
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Have you had direct contact with soil? |
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Do you notice that you now attract insects? |
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Did you had an insect or arthropod infestation? |
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What kind of bugs: Moth-fly-thrips-bugs-like? |
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Does your partner have morgellons too? |
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Are you still active sexually with your partner? |
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If you have pets are they infected too? |
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Do you have a medical support? |
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Was the medical care you acquired helpful? |
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Do you have a medical insurance? |
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Has any medication/treatment giving you relieve? |
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If yes, which medication/treatment could help you more? |
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Are you taking antibiotics now? |
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If yes, how long have you taking them? |
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Could you get any improvement from antibiotics? |
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If yes, what kind of antibiotics could help you more? |
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Do you live near (within 1-3 miles) to a crop field (pesticide
usage)? |
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Do you take birth control pills? |
Select If you are
female |
Have you ever taken birth control pills? |
Select If you are
female |
Do you have a thyroid dysfunction? |
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Are you currently on thyroid hormones? |
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Have you had recently a hormone level (steroids) test? (Sexual,
ACTH, DHEA, Cortisol) |
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Are your hormone/cortisol (stress level) in the normal range? |
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Was your life/childhood extremely traumatic, stressful or
abusive? |
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Have you had also gastrointestinal problems? (ulcus, gastritis
etc.) |
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Was your first disease outbreak after a dramatic life
situation/experience? |
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Do you have diabetes (I or II)? |
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Do you perspire more than most people? |
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Do you have or had ADHD
(Attention-deficit-hyperactivity-disorder)? |
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Do you have or had restless leg syndrome? |
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Do you have an auto-immune disease (Sjogrens, Lupus, Renauld
etc.) |
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Have you had direct contact with pesticides in nature, perhaps
for private use at your home (perimethrin, lindan etc.) |
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Do you have a diagnosted sarcoidosis or cancer? |
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If you consume alcohol, do you prefer rather vine than beer? |
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Are you rather a fearful and discouraged person? |
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Have you seen or had unusual experience with lights? |
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Are you having a tinnitus or hearing high frequency noises? |
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Are you extremely intuitive? |
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Do you notice that you are now more extroverted? |
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Do you notice that you have now more an autistic behavior? |
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Do you notice that you have now a more psychotic behavior? |
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Do you have difficulty wearing watches or using computers? |
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Have you had any vaccination in your lifetime? |
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Is your nutrition healthy? |
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Have you been tested for lyme disease? |
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Was your lyme test positive? |
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Which lyme test was performed and which borrelia type? |
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Have you been tested for other bacterial pathogens? |
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If yes, what kind of pathogens were positive? |
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Have you been tested for viruses? |
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If yes, what kind of virus were positive? |
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If yes, which medication could help you more? |
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Do you have a fungal infection or have you molds in your home? |
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Have you been ever tested for mold/fungal infection? |
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If yes, what kind of fungus/mold were positive? |
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If yes, what kind of anti-fungal could help you more? |
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Do you consider yourself more melancholy than others? |
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Do you often contemplate suicide now? |
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Do you think you will be healed some day? |
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Please leave your email address ONLY if you
want a contact! |
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Describe your main illness symptoms + any additional comments |
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