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Wondering if your symptoms are connected to something deeper?

Use our quick Symptoms Checker to find out if you might be dealing with Chronic Inflammatory Response Syndrome (CIRS), mold illness, or other chronic conditions that are often overlooked in conventional care.

CIRS SYMPTOM QUESTIONNAIRE

Thank you for your interest in our CIRS (Chronic Inflammatory Response Syndrome) evaluation. Please complete this brief form to begin the assessment process.

First Name *

Last Name *

Email *

Phone *

Date Of Birth *

Do you currently reside in the state of Utah? *

State *

Postal Code *

Welcome to our CIRS (Chronic Inflammatory Response Syndrome) Symptom Assessment. This checklist will help identify if your symptoms may be related to CIRS. Please complete all sections accurately.

Note: This assessment is for screening purposes only and is not intended to diagnose any medical condition.

Please select all symptoms you've experienced regularly

over the past 3 months

Neurological Symptoms

Fatigue

Weakness

Decreased assimilation of new knowledge

Memory issues

Word-finding difficulties

Concentration issues

Confusion

Disorientation

Tremor

Parkinson's-like symptoms

Multiple Sclerosis

Dementia-like symptoms

Pain & Sensory Symptoms

Body aches

Headache

Light sensitivity

Joint pain

Morning stiffness

Cramps

Unusual skin sensation

Tingling

Numbness

Unusual pains

Abdominal pain

Respiratory & MCAS Symptoms

Shortness of breath

Sinus congestion

Cough

Mast Cell Activation Syndrome

Allergic-type reactions

Digestive & Metabolic Symptoms

Appetite swings

Weight gain

Diarrhea

Leaky gut

Metallic taste

Vision & Eye-Related Symptoms

Red eyes

Blurred vision

Excessive tearing

Mood & Psychiatric Symptoms

Mood swings

Anxiety

Depression

Autonomic Nervous System Symptoms

Excessive thirst

Body temperature regulation issues

Urinary frequency

Sweating

Static shock

Vertigo

Systemic Conditions

Autoimmune disease

ME/CFS (Myalgic Encephalomyelitis/Chronic Fatigue Syndrome)

Fibromyalgia

CIRS Symptom Score

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