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Lyme Disease Diagnosis

This questionnaire assesses your likelihood of having Lyme disease. Reflect on your feelings over the past month and consider how frequently the following issues have troubled you. 

 After completing the diagnosis section, we will provide the percentage likelihood of Lyme disease and share this information with you.

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Risk and Exposure

Have you been to areas where ticks are common?
Have you ever been bitten by a tick?
Are you aware of the proper method for tick removal?
How long was the tick attached before removal?
Do you have pets that go outdoors?

Early Symptoms and Diagnosis

Did you notice a bull’s-eye rash?
How soon after the bite did you notice symptoms?
What were your initial symptoms?
Did you consult a doctor?
How was Lyme disease diagnosed?

Symptoms and Progression

Are you experiencing ongoing symptoms?
What chronic symptoms are you experiencing?
Have your symptoms affected daily life?
Do your symptoms come and go in flares?

Treatment and Management

Have you received treatment for Lyme disease?
Did you consult a Lyme-literate medical doctor (LLMD)?
Are you currently taking any medications or supplements?
How would you rate the effectiveness of your treatments?
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