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.

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

* 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.)

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

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

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

* 5. How were you diagnosed?

* 6. Were you previously misdiagnosed with another illness?

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

* 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)

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

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

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