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Lyme Symptom Quiz

The Horowitz Lyme-MSIDS Questionnaire is not intended to replace the advice of your own physician or other medical professional. You should consult a medical professional in matters relating to health, and individuals are solely responsible for their own health care decisions regarding the use of this questionnaire. It is intended for informational purposes only and not for self-treatment or diagnosis.

Answer the following questions using this scale.

  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe
  1. None
  2. Mild
  3. Moderate
  4. Severe

Check the box if "TRUE"

Check the box if "TRUE"

Check the box if "TRUE"

Check the box if "TRUE"

Check the box if "TRUE"

Check the box if "TRUE"

Check the box if "TRUE"

Check the box if "TRUE"

Check the box if "TRUE"

Check the box if "TRUE"

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