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Hotze Health & Wellness Center
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Do You Suffer from Allergies?
Do you have or experience any of the following?
(Check all that apply)
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Eyes that itch, water, get red or swell?
Indigestion, bloating, diarrhea or constipation?
Reactions when coming into contact with dust?
Recurrent yeast infections, jock itch, athlete's foot or fungus under your toenails?
Recurrent ear infections?
Symptoms that worsen during a particular seasons, such as spring or fall?
Symptoms that worsen around animals?
Symptoms after drinking or eating certain foods?
Crease across the bridge of your nose?
Sneezing, post nasal drainage or itching of the nose?
Asthma, wheezing, tightness in the chest or chronic cough?
Symptoms that change when going indoors or outdoors?
Relatives with allergies?
Dark circles under your eyes?
Sinus infections at least once per year?
Skin problems, such as eczema, skin rashes, itching or hives?
Awakening in the middle of the night with congestion?
Mood swings or feeling depressed for no reason?
Feeling stimulated, hyperactive or fatigued after meals?
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