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Are YOU an allergy candidate?

For the following 6 questions, please rate your symptoms on a scale of 1-5 with 1 being the lowest severity and 5 being the highest severity.
For the following 6 questions, please rate your symptoms on a scale of 1-5 with 1 being the lowest severity and 5 being the highest severity.
Eyes (Itchy, watery, or swollen)
1
2
3
4
5
Ears (Itchy, draining, or congested)
1
2
3
4
5
Nose (runny or congested)
1
2
3
4
5
Headaches or migraines
1
2
3
4
5
Cough
1
2
3
4
5
Sneezing
1
2
3
4
5
How many months out of the year do you have symptoms?
January
February
March
April
May
June
July
August
September
October
November
December
Are your symptoms...?
Constant
Frequent
Occasional
Rare
Do your symptoms interfere with your activities or daily life?
Not at all.
A little.
Moderately.
All the time.
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