ehs-quiz

"*" indicates required fields

Your Age*
Your Gender*

1. Do you like fluorescent light bulbs? These include the tube fluorescent and the curly light bulbs.*
Excerpt
2. Have you ever had physical trauma to brain and central nervous system? (whiplash, concussion, etc.)*
3. Do you have metal implants in the neck, face, or head? (including caps/crowns and braces)*
4. Do you have metal implants in other parts of the body? (hip, knee, shoulder, etc.)*
5. Do you have tattoos? (contains metal pigments)*
6. Have you ever had known exposure to chemicals including mercury, aluminum, lead, or other metals?*
7. Have you ever had known exposure to chemicals including pesticides, cleaners, solvents?*
8. Have you ever had known exposure to chemicals including hazardous chemicals in the workplace or home such as formaldehyde, asbestos, etc.?*
9. Do you smoke or vape?*
10. Have you ever had high levels of acute (short-term) exposure to electromagnetic pollution, electrocution, lightning strike?*
11. Have you ever had chronic (long-term) exposure to electromagnetic pollution, multiple shocks, using cell phone, WiFi and/or living near power lines, antennas, substations, airport, etc.?*
12. Do you have dental issues: infected gums, root canal, metal braces, mercury fillings, different metals in mouth?*
13. Do you have environmental allergies to pollen, dust, pets, etc.?*
14. Do you have food sensitivities/allergies?*
15. Do you have reoccurring or long-standing infections? (bacteria, fungus, virus, parasites, etc.)*
16. Do you have current or previous mould exposure in the home or at work?*
17. Do you have an impaired immune system associated with age, medication, or illness?*
18. Do you have sensitivity to light and/or sound?*
19. Do you have sensitivity to metal objects touching the body? (jewelry and watches)*
20. Do you have sensitivity to fragrances and/or chemicals?*
Excerpt
21. How often do you experience headaches?*
22. How often do you experience migraines?*
23. How often do you experience difficulty sleeping?*
24. How often do you experience fatigue?*
25. How often do you experience muscle or joint pain?*
26. How often do you experience poor short-term memory?*
27. How often do you have a “foggy brain” or experience difficulty concentrating?*
28. How often do you experience feeling unwell with flu-like symptoms?*
29. How often do you experience depression?*
30. How often do you experience anxiety?*
31. How often do you experience dizziness and/or vertigo?*
32. How often do you experience nausea?*
33. How often do you experience itchy skin and/or skin rashes?*
34. How often do you experience heart palpitations or arrhythmia?*
35. How often do you experience pain or pressure in chest area?*
36. How often do you experience nose bleeds?*
37. How often do you experience frequent night-time urination (bedwetting among children)?*
38. How often do you experience tinnitus (ringing in the ears)?*
39. How often do you experience visual disturbances?*
40. How often do you experience tremors?*
41. How often do you experience numbness or tingling sensations in extremities (fingers and toes)?*
42. If you are diabetic, how often do you have trouble controlling blood sugar?*
43. If you have multiple sclerosis, Parkinson’s etc., how often do you experience neurological symptoms?*
44. Do you currently have or have you ever been diagnosed with cancer?*
45. Do you currently have or have you ever been diagnosed with infertility?*
46. Do you or have you ever been diagnosed with an autoimmune disorder like lupus, rheumatoid arthritis, psoriasis, Grave’s disease, etc.?*
47. Do you or have you ever had dental problems other than cavities? (i.e. root canal, dental surgery, infections etc.)*
Excerpt
48. Based on your responses to questions 21 – 47, how severe are your symptoms? Read each description below and select the one that best describes your situation.*
Excerpt
49. Are your symptoms changing?*
Excerpt
52. Do you use a cell phone?*
53. Do you use a cordless phone?*
54. Do you use WiFi?*
55. Do you use Bluetooth?*
56. Do you use a wireless mouse, keyboard, and/or printer?*
57. Do you use a wireless home security system?*
58. Do you use a wireless audio system, including headphones or speakers?*
59. Do you use in-floor or in-ceiling electric heating?*
60. Do you use a smart meter for electricity, water, and/or gas?*
61. Do you use smart appliances?*
62. Do you use a wireless baby monitor?*
63. Do you use wireless games?*
64. Do you use solar power converted to electricity?*
65. Do you use a Fitbit, Apple Watch, or other wireless fitness device attached to your body?*
66. Do you use AirPods or wireless headphones?*
67. Do you use wireless hearing aids?*
68. Do you use wireless light bulbs? (controlled by a smartphone)*
69. Do you use a smart TV?*
70. Do you use a microwave oven?*
71. Do you use light dimmer switches?*
72. Do you use energy efficient light bulbs? (LED, or fluorescent)*
73. Do you use an AI (artificial intelligence) virtual assistant? (Alexa, Google, or Siri)*
74. Do you use a digital alarm clock within arm’s reach in the bedroom?*
75. Do you sleep with a cell phone near the bed?*
76. Do you have electrical wires near the bed?*
77. Do you have an electric blanket or a waterbed?*
78. Do you have an air filter/ionizer in the bedroom?*
79. Do you drive an electric car?*
80. Do you drive a car/truck was manufactured after 2018?*
81. Does your car have WiFi or Bluetooth technology?*
Excerpt
82. Do you have cell phone antenna(s) within 400 meters of your home?*
83. Do you have RADAR within 4 km of your home? (airport, military, marine, weather)*
84. Do you have radio or TV broadcasting antenna(s) within 4 km of your home?*
85. Do you have high voltage transmission lines within 100 meters of your home?*
86. Do you have power lines or a power transformer within 50 meters of your home?*
87. Do you have an electrical substation or power plant within 100 meters of your home?*
88. Do you have wind turbines within 4 km of your home?*
89. Do you have a solar farm within 4 km of your home?*
90. Do you live in a condo, apartment building, row housing, or semi-detached home?*
91. Do you have a railway station or subway within 1 km of your home?*
92. Do you receive 10 or more WiFi signals from neighbours within your home?*
93. Do you have a 5G small cell on a lamp post or building within 50 meters of home?*
Excerpt
94. Have you been exposed to chemicals in your workplace? (welder; farming; mineral and metal processing; hair stylist; fire fighter; mechanic; engineer; dentist; carpenter; pulp & paper industry; plastic/rubber manufacturing; fur or leather processing; petroleum, gas and chemical processing; etc.)*
95. Have you been exposed to electromagnetic pollution in your workplace? (welder; electrician; tailor/seamstress; office worker; pilot or airline steward; truck driver; taxi driver; cell antenna installer; textile industry; musician; radio/TV production; fast-food server with headphones etc.)*
96. Do you (or did you ever) have hobbies that expose you to chemicals? (gardening, refinishing furniture, car mechanic, painting, welding, taxidermy, etc.)*
97. Do you (or did you) have hobbies that expose you to electromagnetic pollution? (computer games, welding or metal work, musician, ham radio operator, race car driver, etc.)*
Excerpt
98. When you go shopping at a large box store (grocery, pharmacy, hardware, etc.) how many of the symptoms get worse while shopping?*
Excerpt
99. When you are in an electromagnetically clean environment, how many of the symptoms get better?*
Excerpt
100. How would you rank your health?*
101. Do you think you have electromagnetic illness/electrohypersensitivity (EMI/EHS)?*
102. Do you have a medical diagnosis of electromagnetic illness or electrohypersensitivity?*
Excerpt
103. How long have you been suffering with electromagnetic illness/electrohypersensitivity?*
Excerpt