Fibromyalgia Screening
Are you wondering whether you may have fibromyalgia? Take the screening questionnaire below. Upon completion, a pop up window will explain the results.
*
indicates required fields
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I experience relentless fatigue::
YES
NO
*
I have widespread body pain:
YES
NO
*
I have trouble getting a good nights sleep:
YES
NO
*
I experience "brain fog":
YES
NO
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I get headaches regularly:
YES
NO
*
My hands and feet are often unusually cold:
YES
NO
*
I have intestinal discomfort:
YES
NO
*
I experience episodes of anxiety:
YES
NO
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I have restless leg syndrome:
YES
NO
*
I am sick often:
YES
NO
*
I get stabbing headaches on the side of my head:
YES
NO
*
My hands and/or feet are sometimes "tingly":
YES
NO
*
I am sensitive to chemicals:
YES
NO
*
First Name:
*
Email:
Please click on the Submit button to submit the questionnaire.
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