SYMPTOM REPORT

    This Survey is based on symptoms from the Austrian Medical Society electro-hypersensitivity syndrome (EHS) questionnaire.  Additional common complaints from Sedona residents have been added. 

    Please fill out the health record report first to establish an ID  .  
    You may return to this page as often as you like to record how you feel, and what symptoms you may be experiencing during the day.  Don't forget that reporting feeling good,  indicating when something ISN'T happening is also valid data. 

    You have the option whether or not to make your symptoms  public. 

    Please use your unique ID .  Your ID can be your real name, a made-up name, numbers,  or combination so that your data will be anonymous if you prefer.