Mold Toxicity Question Title * 1. Are you ever achy all over? Yes No Question Title * 2. Do you feel worse when you enter certain buildings (home, office, school)? Yes No Question Title * 3. Do you have a blocked, runny, or stuffy nose, and/or experience nosebleeds? Yes No Question Title * 4. Do you have a cough, headaches, or nausea when exposed to various chemicals? Yes No Question Title * 5. Do you have difficulty recalling the names of people/things you know or have troubletaking in new information? Yes No Question Title * 6. Do you have difficulty sleeping? Or do you wake up during the night with shortness of breath and/or a coughing attack? Yes No Question Title * 7. Do you have shortness of breath when you’re not doing anything strenuous? Yes No Question Title * 8. Do your symptoms decrease when spending time in a different location for at least a few days? Yes No Question Title * 9. Have you ever experienced water damage at home, school, or work?Are there any wet spots in your home (current or past) or is your basement ever wet? Yes No Question Title * 10. Have you seen mold growing at home, school, or work? Do any of these places have a damp or mildewy odor? Yes No Done