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MSQ

Medical Symptoms Questionnaire (MSQ)

Medical
Step 1 of 3

Rate each of the following symptoms based upon your typical health profile for the past 14 days. Point Scale

0 - Never or almost never have the symptom

1 - Occasionally have it, effect is not severe

2 - Occasionally have it, effect is severe

3 - Frequently have it, effect is not severe

4 - Frequentlyhave it, effect is severe

HEAD

Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0

EYES

Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0

EARS

Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0

NOSE

Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0

MOUTH/THROAT

Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0

SKIN

Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0
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