Environmental Health Perspectives 105, Supplement 2, March 1997: Appendix 3. Patient Testing Questionnaire from Protocol for Diagnosing Disorders of Porphyrin Metabolism in Chemically Sensitive Patients by Donnay and Ziem

Appendix 3. Patient Testing Questionnaire from Protocol for Diagnosing Disorders of Porphyrin Metabolism in Chemically Sensitive Patients by Donnay and Ziem

PATIENT TESTING QUESTIONNAIRE
This questionnaire is needed for the evaluation of chemically-sensitive patients.
Please complete all questions after your testing and return this promptly to your doctor.