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The Survey That Ate Manhattan Discussion of the giant demographic poll being created for Guild research purposes.

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Old 08-30-2012, 03:00 PM   #41
Trent
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Allergy Section

Do you have any allergies?
[x] Yes
[] No (skip to next section).

If Yes, which of the following do you have?
[] Food allergy
[x] Pollen/mold spores
[] Perfumes/dyes
[] Plastic/rubber/latex
[] Animal venom (bees, snakes, etc--list only if reaction is abnormal).
[] Animal dander/fur/etc.
[] Metal
[] Antibiotic
[] Prescription or over-the-counter drug
[x] Other (describe)____Dust______________

If you have a Food allergy or intolerance, which of the following are you allergic, or have an intolerance to?
[] Milk/Dairy
[] Seafood
[] Pork
[] Beef
[] Lamb/mutton
[] Wild game (please specify)_____________
[] Poultry
[] A root vegetable (please specify)____________
[] A leaf vegetable (please specify)_____________
[] Other vegetable (please specify)_____________
[] Fruit (please specify)__________________
[] Wheat or other grain
[] An artificial color or flavor (please specify)_____________
[] Other (please specify)______________

N/A

How severe is the most severe of these allergies?
[x] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

[x] Difficulty Breathing <------ Not on list



If you are allergic to pollen/mold spores, which of the following are you allergic to?
[] Unknown
[x] Mold spores
[] Ragweed pollen
[] Grass
[x] Other pollen

How severe is the most severe of these allergies?
[x] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

[x] Difficulty Breathing <------ Not on list


If you are allergic to perfumes/dyes, which of the following are you allergic to?
[] Perfumes (please specify)______________
[] Dyes (please specify)_______________

N/A

If you are allergic to plastic/rubber/latex, which of the following are you allergic to?
[] Plastic/nylon
[] Rubber
[] Latex

N/A

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

N/A

If you are allergic to animal venom, which of the following are you allergic to?
[] Bees/wasps
[] Spiders
[] Scorpians
[] Snakes (note: Normal reactions to strong venom do not count)
[] Mosquitoes
[] Centipedes

N/A

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

N/A

If you are allergic to animal dander/fur/etc, which of the following are you allergic to?
[] Cats
[] Dogs
[] Rabbits
[] Rodents
[] Horses
[] Cows/sheep/other hoofed animals
[] Ferrets/mustelidae
[] Reptiles
[] Birds
[] Insects
[] Other (please specify)_________________

N/A

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

N/A


If you are allergic to a metal, which one(s) are you allergic to?
[] Iron/steel
[] Silver
[] Copper
[] Brass
[] Nickel
[] Other (please specify)_______________

N/A

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

N/A

If you are allergic to an antibiotic, which one(s) are you allergic to?
[] Pennicillin
[] Amoxycillin
[] Other (please specify)_________________

N/A

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

N/A

If you are allergic to a prescription or over-the-counter drug, please specify which one.
________________________

N/A

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

N/A
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Old 08-30-2012, 03:59 PM   #42
ArchMage
A Self-Teaching Apprentice
 
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Join Date: Aug 2012
Location: Winterhold
Posts: 134
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Allergy Section

Do you have any allergies?[*] Yes
[] No (skip to next section).

If Yes, which of the following do you have?
[] Food allergy[*] Pollen/mold spores
[] Perfumes/dyes
[] Plastic/rubber/latex[*] Animal venom (bees, snakes, etc--list only if reaction is abnormal).
[] Animal dander/fur/etc.
[] Metal
[] Antibiotic
[] Prescription or over-the-counter drug
[] Other (describe)__________________

If you have a Food allergy or intolerance, which of the following are you allergic, or have an intolerance to?
[] Milk/Dairy
[] Seafood
[] Pork
[] Beef
[] Lamb/mutton
[] Wild game (please specify)_____________
[] Poultry
[] A root vegetable (please specify)____________
[] A leaf vegetable (please specify)_____________
[] Other vegetable (please specify)_____________
[] Fruit (please specify)__________________
[] Wheat or other grain
[] An artificial color or flavor (please specify)_____________
[] Other (please specify)______________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to pollen/mold spores, which of the following are you allergic to?
[] Unknown
[] Mold spores
[] Ragweed pollen[*] Grass
[] Other pollen

How severe is the most severe of these allergies?[*] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to perfumes/dyes, which of the following are you allergic to?
[] Perfumes (please specify)______________
[] Dyes (please specify)_______________

If you are allergic to plastic/rubber/latex, which of the following are you allergic to?
[] Plastic/nylon
[] Rubber
[] Latex

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to animal venom, which of the following are you allergic to?[*] Bees/wasps
[] Spiders
[] Scorpians
[] Snakes (note: Normal reactions to strong venom do not count)
[] Mosquitoes
[] Centipedes

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache[*] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to animal dander/fur/etc, which of the following are you allergic to?[*] Cats
[] Dogs
[] Rabbits
[] Rodents
[] Horses
[] Cows/sheep/other hoofed animals
[] Ferrets/mustelidae
[] Reptiles
[] Birds
[] Insects
[] Other (please specify)_________________

How severe is the most severe of these allergies?[*] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to a metal, which one(s) are you allergic to?
[] Iron/steel
[] Silver
[] Copper
[] Brass
[] Nickel
[] Other (please specify)_______________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to an antibiotic, which one(s) are you allergic to?
[] Pennicillin
[] Amoxycillin
[] Other (please specify)_________________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to a prescription or over-the-counter drug, please specify which one.
________________________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock
__________________
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Old 04-01-2013, 01:56 AM   #43
ZeroHour
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Join Date: Dec 2012
Location: Colorado
Posts: 21
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Do you have any allergies?
[x] Yes
[] No (skip to next section).

If Yes, which of the following do you have?
[] Food allergy
[] Pollen/mold spores
[] Perfumes/dyes
[] Plastic/rubber/latex
[] Animal venom (bees, snakes, etc--list only if reaction is abnormal).
[] Animal dander/fur/etc.
[] Metal
[x] Antibiotic
[] Prescription or over-the-counter drug
[x] Other (describe) Slight allergy to dust, was illergic to dairy for a short time when I was 13

If you have a Food allergy or intolerance, which of the following are you allergic, or have an intolerance to?
[] Milk/Dairy
[] Seafood
[] Pork
[] Beef
[] Lamb/mutton
[] Wild game (please specify)_____________
[] Poultry
[] A root vegetable (please specify)____________
[] A leaf vegetable (please specify)_____________
[] Other vegetable (please specify)_____________
[] Fruit (please specify)__________________
[] Wheat or other grain
[] An artificial color or flavor (please specify)_____________
[] Other (please specify)______________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to pollen/mold spores, which of the following are you allergic to?
[] Unknown
[] Mold spores
[] Ragweed pollen
[] Grass
[] Other pollen

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to perfumes/dyes, which of the following are you allergic to?
[] Perfumes (please specify)______________
[] Dyes (please specify)_______________

If you are allergic to plastic/rubber/latex, which of the following are you allergic to?
[] Plastic/nylon
[] Rubber
[] Latex

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to animal venom, which of the following are you allergic to?
[] Bees/wasps
[] Spiders
[] Scorpians
[] Snakes (note: Normal reactions to strong venom do not count)
[] Mosquitoes
[] Centipedes

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to animal dander/fur/etc, which of the following are you allergic to?
[] Cats
[] Dogs
[] Rabbits
[] Rodents
[] Horses
[] Cows/sheep/other hoofed animals
[] Ferrets/mustelidae
[] Reptiles
[] Birds
[] Insects
[] Other (please specify)_________________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to a metal, which one(s) are you allergic to?
[] Iron/steel
[] Silver
[] Copper
[] Brass
[] Nickel
[] Other (please specify)_______________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to an antibiotic, which one(s) are you allergic to?
[x] Pennicillin
[] Amoxycillin
[] Other (please specify)_________________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[x] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to a prescription or over-the-counter drug, please specify which one.
________________________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock
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Old 04-15-2013, 09:38 PM   #44
Axolotl_24
Member
 
Join Date: Apr 2013
Location: UK
Posts: 31
Rep Power: 0
Axolotl_24 is an unknown quantity at this point
Allergy Section

Do you have any allergies?
[x] Yes
[] No (skip to next section).

If Yes, which of the following do you have?
[] Food allergy
[x] Pollen/mold spores
[] Perfumes/dyes
[] Plastic/rubber/latex
[] Animal venom (bees, snakes, etc--list only if reaction is abnormal).
[x] Animal dander/fur/etc.
[] Metal
[] Antibiotic
[] Prescription or over-the-counter drug
[] Other (describe)__________________

If you have a Food allergy or intolerance, which of the following are you allergic, or have an intolerance to?
[] Milk/Dairy
[] Seafood
[] Pork
[] Beef
[] Lamb/mutton
[] Wild game (please specify)_____________
[] Poultry
[] A root vegetable (please specify)____________
[] A leaf vegetable (please specify)_____________
[] Other vegetable (please specify)_____________
[] Fruit (please specify)__________________
[] Wheat or other grain
[] An artificial color or flavor (please specify)_____________
[] Other (please specify)______________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to pollen/mold spores, which of the following are you allergic to?
[] Unknown
[] Mold spores
[] Ragweed pollen
[x] Grass
[x] Other pollen

How severe is the most severe of these allergies?
[x] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to perfumes/dyes, which of the following are you allergic to?
[] Perfumes (please specify)______________
[] Dyes (please specify)_______________

If you are allergic to plastic/rubber/latex, which of the following are you allergic to?
[] Plastic/nylon
[] Rubber
[] Latex

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to animal venom, which of the following are you allergic to?
[] Bees/wasps
[] Spiders
[] Scorpians
[] Snakes (note: Normal reactions to strong venom do not count)
[] Mosquitoes
[] Centipedes

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to animal dander/fur/etc, which of the following are you allergic to?
[x] Cats
[] Dogs
[] Rabbits
[] Rodents
[] Horses
[] Cows/sheep/other hoofed animals
[] Ferrets/mustelidae
[] Reptiles
[] Birds
[] Insects
[] Other (please specify)_________________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[x] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to a metal, which one(s) are you allergic to?
[] Iron/steel
[] Silver
[] Copper
[] Brass
[] Nickel
[] Other (please specify)_______________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to an antibiotic, which one(s) are you allergic to?
[] Pennicillin
[] Amoxycillin
[] Other (please specify)_________________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock

If you are allergic to a prescription or over-the-counter drug, please specify which one.
________________________

How severe is the most severe of these allergies?
[] Itchy, watery eyes/rash/headache
[] hives, blisters, severe congestion
[] anaphylactic shock
__________________
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