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Home
Order Online
ArminLabs
Mitochondrial Testing
Maintrac
Autoimmune Brain Panel
Food Sensitivity
CellTrend
KPU Testing
FRAT
- FRAT® Test
- FRAT Order form
Webinars
Events
Practitioners
Contact

Combined Checklist

COMBINED CHECKLIST

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Lyme Questionnaire

1. Former or recent tick bite

2. Former or recent bull's eye rash

3. Summer flu after tick bite

4. Fatique/Malaise/Lethargy

5. Loss of physical/mental capacity, general weakness

6. Neck-pain, neck stiffness

7. Headache

8. Painful joints, swollen joints

9. General aches and pains, tendon problems

10. Muscle pain, muscle weakness

11. Fever, feverish feeling, shivering

12. Ears: intermittent red, swollen earlap

13. Heart problems, disturbance of cardiac rhythm

14. Cough, expectoration, breathlessness

15. Night sweat

16. Sleeplessness - when ticked please fill in text field below

17. Tinnitus

18. Swollen lymph nodes

19. Numbness of the skin

20. "Burning" or "pins and needles" skin sensations, painful sole or foot

21. Back pain, back stiffness

22. Occasional muscle twitching in the face, arms, legs

23. Shivering, chill

24. Blurred, foggy, cloudy, flickering, double vision

25. Aggressiveness, drowsiness, panic attacks, anxiety, mood swings

26. Concentration problems, short-term memory loss, forgetfulness

27. Skin partly thin, paper-like, transparent, dry

Waking up around ....

If you ticked sleeplessness.

Antibiotics?

Yes

If yes, when?

If yes, which one(s)?

If yes, how long?

Coinfection Checklist

1. Stomach ache, gut problems

2. Anaemia

3. Diarhoea intermittent

4. Fever or feverish feeling

5. Lack of concentration, memory disturbance, forgetfulness

6. Encephalitis/Inflammation of the brain (NMR)

7. Yellowish colour of the skin/eyes

8. Painful joints, swollen joints

9. General aches and pains, tendon problems

10. Flu-like symptoms intermittent

11. Rash(es)

12. Small red/purple spots of the skin

13. Heart problems, disturbance of cardiac rhythm

14. Cough, expectoration

15. Headache

16. Impaired liver function/ liver laboratory values

17. Pneumonia, bronchitis

18. Swollen lymph nodes

19. Tonsilitis

20. Enlargement of the spleen

21. Fatigue / exhaustion, intermittent or chronic CFS

22. Muscle pain, muscle weakness

23. Shivering, chill

24. Blurred, foggy, cloudy, flickering, double vision

25. Nausea, vomiting

26. Dark urine

27. Itching or pain when urinating

DISCLAIMER: THIS SITE DOES NOT PROVIDE MEDICAL ADVICE

The information on these webpages and AONM webinars is intended for educational and informative purposes only and is not intended as a substitute for medical or professional advice, diagnosis or treatment. Always seek the advice of your doctor or other qualified health care provider with regards to any questions you may have regarding a medical condition or treatment before undertaking a health care regimen. Never disregard or delay seeking professional medical advice because of information you have read or seen on this website. AONM may assist and guide patients and practitioners with regards to which tests are appropriate to take, but any tests taken through AONM do not constitute a medical diagnosis on the part of AONM. AONM makes no claims whatsoever to be able to diagnose medical conditions but to provide tests which can help to form the basis of a diagnosis on the part of qualified practitioners.

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