EHS Questionnaire How often do you have anxiety? Rarely Sometimes Often How often do you experience tightness in chest? Rarely Sometimes Often How often do you experience depression? Rarely Sometimes Often How often do you have difficulty concentrating? Rarely Sometimes Often How often do you experience restlessness, tension? Rarely Sometimes Often How often do you experience hyperactivity? Rarely Sometimes Often How often do you experience irritability? Rarely Sometimes Often How often do you experience exhaustion? Rarely Sometimes Often How often do you experience fatigue? Rarely Sometimes Often How often do you experience anomia? (difficulty finding words) Rarely Sometimes Often How often do you experience forgetfulness? Rarely Sometimes Often How often do you experience headaches? Rarely Sometimes Often How often do you experience dizziness? Rarely Sometimes Often How often do you experience sleep problems? Rarely Sometimes Often How often do you experience noise sensitivity? Rarely Sometimes Often How often do you experience a sensation of pressure in the ears? Rarely Sometimes Often How often do you experience ear noises, Tinnitus? Rarely Sometimes Often How often do you experience a burning sensation in the eyes? Rarely Sometimes Often How often do you experience a nervous bladder, urinary urgency? Rarely Sometimes Often How often do you experience heart palpitations? Rarely Sometimes Often How often do you experience blood pressure problems? Rarely Sometimes Often How often do you experience muscle tension? Rarely Sometimes Often How often do you experience joint pain? Rarely Sometimes Often How often do you experience skin conditions? Rarely Sometimes Often Time's up
