Free Allergy Quiz | AllergenIQ

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FAQ
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Step 1

Your Information

Take a moment to enter your name and email address where you’d like us to send the allergy quiz results:

*Your responses are confidential and will only be used to secure your free strategy session.

Step 2

What are your goals?

*Your responses are confidential and will only be used to secure your free strategy session.

Food allergy prevention

Diagnosis & treatment

Dietitian management

Food allergy therapy

Environmental allergy therapy

Asthma, eczema or hives management

Step 3

How old is your child?

*Your responses are confidential and will only be used to secure your free strategy session.

Step 4

Where do you live?

*Your responses are confidential and will only be used to secure your free strategy session.

Texas

California

Florida

Other

Other

Step 5

Based on your experience, what type of allergies do you believe you suffer from most?

*Your responses are confidential and will only be used to secure your free strategy session.

Food allergies

Environmental allergies

Both

Step 6

Based on your experience, what type of allergies do you believe you suffer from most?

*Your responses are confidential and will only be used to secure your free strategy session.

Please select all that apply:

What are the most common symptoms you experience after eating certain foods?

Oral itch Itchy throat Lip swelling Tongue swelling Coughing Wheezing Shortness of breath Nausea and/or vomiting All of the above

What are the most common symptoms you experience after being outdoors around pollen or around pets that you might be allergic to?

Nasal congestion Itchy, watery red eyes Sneezing Throat clearing Runny nose

What are the most common symptoms you experience after eating certain foods?

Oral itch Itchy throat Lip swelling Tongue swelling Coughing Wheezing Shortness of breath Nausea and/or vomiting Nasal congestion Itchy, watery eyes Sneezing All of the above

Step 7

Have you ever had to miss school days, or work days due to your allergies?

*Your responses are confidential and will only be used to secure your free strategy session.

Yes

No

Step 8

Which of the following do you think your child is allergic to?

*Your responses are confidential and will only be used to secure your free strategy session.

Please select all that apply:

Peanuts

Tree nuts

Milk or soy

Eggs

Wheat

Sesame

Fish or shellfish

Other

Pollen

Dust

Pet dander

Mold or fungi

Cockroaches

Other

Peanuts

Tree nuts

Milk, soy or eggs

Wheat

Sesame

Fish or shellfish

Pollen

Dust

Pet dander

Mold or fungi

Cockroaches

Other

Step 9

How often have you felt that your allergies are affecting your quality of life?

*Your responses are confidential and will only be used to secure your free strategy session.

Sometimes:
My child allergies sometimes affect our quality of life Always:
My child's allergies significantly affect the quality of our lives

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