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Food Allergy Survey
Food Allergy Survey - Continued


Section 2. The Food Allergies – *First Presentation*

2.1 At what age the person first present symptoms of the food allergies?

2.2 What were the Symptoms?

Eczema
Asthma
Anaphylaxis
Hives
Facial swelling (e.g. puffy eyes)
Difficulty breathing
Stomach cramps
Nausea
Headaches
Vomiting
Other, please enter

2.3 Did you consult with a practitioner at this point?

GP
Hospital
Pediatrician
Allergy specialist
Naturopath
Homeopath
No
Other, please enter

2.4 Were Food Allergies diagnosed at this point?

Yes, by GP
Yes, by Hospital
Yes, by Pediatrician
Yes, by Allergy specialist
Yes, by Naturopath
Yes, by Homeopath
No
Yes, by Other , please enter

 

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