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Seeds for Change Wellness
Electrical Hypersensitivity Questionnaire
Electrical Hypersensitivity (EHS) Questionnaire

Do you suffer from electrical hypersensitivity?                     
Score as follows:
If you have the symptom described:
Frequently - score 2
Occasionally - score 1
Never - score 0















































If you scored 15 to 25 out of 50, you may be one of the 35 per cent of people suffering
from some degree of electro-stress.

If you scored more than 25, you may have developed EHS.
DO YOU SUFFER FROM:
 2
 1
 0
1. Numbness, weakness or prickling sensations in your joints or limbs
      
2. Feelings of abnormal tiredness or weakness that cannot be
explained by your life commitments
      
3. Changes in your ability to think clearly or finding it difficult to
concentrate, depending on where you are
      
4. Aches and pains, cramps or muscle spasms in your joints, bones and
muscles in your shoulders, arms, legs, feet, wrists, ankles, elbows
and pelvis. Fibromyalgia
      
5. Headaches
      
6. Tenseness
      
7. Restlessness, anxiety
      
8. Memory loss
      
9. Sleep disturbance, insomnia
      
10. Feebleness, dizziness, tremors
      
11. A tendency to skin redness, itchiness, rashes, tingling or dry skin
      
12. Abdominal pain, digestive problems, irregular bowel movements,
sickness
      
13. Feeling too hot, fever
      
14. A smarting, irritating sensation, a pain, or a feeling as if there is grit
in your eyes. Blurred vision or flickering before the eyes
      
15. Nosebleeds or blood pressure changes
      
16. Heart arrhythmias or irregularities, palpitations or chest pain
      
17. Toothache or neuralgia
      
18. Hair loss
      
19. Hearing clicks, humming, buzzing, hissing or a high-pitched whine
      
20. Sensitivity to light, especially fluorescent lights or computer screens
(sometimes, though rarer, even daylight)
      
21. Bouts of unusual irritability, rage, violence, destructiveness, feeling
hostile
      
22. Thyroid problems
      
23. A generalised feeling of impending influenza that never quite breaks
out
      
24. Depression
      
25. 'Missing time', blackouts or convulsions.
      
                                                   YOUR TOTAL SCORE:
      
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