* 1. What is your Age, Sex, and Ethnicity?

* 2. Where did you live when you contracted Lyme disease? (Please specify Zip code only)
If not in the US, please specify the country, if you have had many tick bites list them as precisely as possible:

* 3. Where did you get LD? (Please specify Zip code only)

* 4. Where were you diagnosed? (Please specify Zip code only):

* 5. When did you get infected?

* 6. How many doctors where visited to get proper diagnosis?

* 7. How long did it take to get proper diagnosis?

* 8. Was there a misdiagnosis of condition?

* 9. Where there any Co-infections?

* 10. Are you in constant contact with animals?