1. Tick Talk Ireland Lyme Disease Survey

Welcome to Tick Talk Ireland's new survey.

To qualify you must be a Lyme sufferer who is:

* Living in Ireland - infected by Lyme here or abroad or
* Not living in Ireland - but infected within Irish Counties

No personal data is collected in this survey - you are NOT asked for name, address or email details and IP addresses will not be collected by Tick Talk Ireland. Survey Monkey has a strict anti-spam policy http://www.surveymonkey.com/.

All questions are optional. Answers can be edited before sending the survey, but not after. Only one survey per household!

Tick Talk is on Facebook at: http://www.facebook.com/group.php?gid=44960753282

Any problems we can be contacted at info(at)ticktalkireland.org.

Which country were you infected (if known)?

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* 1. Which country were you infected (if known)?

Which particular county, state, province or area do you believe you were infected?

(for instance answer Ireland above and County Wicklow in the box below.)

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* 2. Which particular county, state, province or area do you believe you were infected?

(for instance answer Ireland above and County Wicklow in the box below.)

What activity were you doing at the time of infection?

(for instance walking in woods, gardening, fishing etc.)

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* 3. What activity were you doing at the time of infection?

(for instance walking in woods, gardening, fishing etc.)

How long have you been suffering from Lyme Disease?

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* 4. How long have you been suffering from Lyme Disease?

How were you diagnosed?

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* 5. How were you diagnosed?

Were you previously misdiagnosed with another illness?

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* 6. Were you previously misdiagnosed with another illness?

Which (regular) symptoms have you had during the course of the illness? (select all that apply)

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* 7. Which (regular) symptoms have you had during the course of the illness? (select all that apply)

Have you seen a private Lyme literate doctor to help you with treatment, diagnosis and/or maintenance of your condition in any of these countries? (select any that apply)

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* 8. Have you seen a private Lyme literate doctor to help you with treatment, diagnosis and/or maintenance of your condition in any of these countries? (select any that apply)

What treatments are you taking now or have tried in the past? (select all that apply)

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* 9. What treatments are you taking now or have tried in the past? (select all that apply)

From the list above enter below which treatments have been the most effective.

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* 10. From the list above enter below which treatments have been the most effective.

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