Official websites use .gov
A
.gov website belongs to an official
government organization in the United States.
Secure .gov websites use HTTPS
A lock (
) or https:// means you've safely
connected to the .gov website. Share sensitive
information only on official, secure websites.
| Questions | Asked | Not Asked |
|---|---|---|
| How long have you had the symptoms for? | 55 | 45 |
| Actual symptoms? What are they? | 77 | 23 |
| How severe are the symptoms? | 44 | 56 |
| Are you receiving treatment for this or any other condition? | 48 | 52 |
| Are you on any other medication? | 55 | 45 |
| Do you have any other medical conditions? | 22 | 78 |
| Are you pregnant or breastfeeding? | 8 | 92 |
