CIRS Symptom Questionnaire

1 Fatigue

Yes

No

2 Weakness, aches, headache, light sensitivity

Includes general weakness, body aches, headaches, and sensitivity to light

Yes

No

3 Memory impairment, word finding

Includes difficulty with short-term memory and recalling words

Yes

No

4 Difficulty concentrating

Includes brain fog and trouble maintaining focus

Yes

No

5 Joint pain, morning stiffness, muscle cramps

Includes achy joints, stiffness upon waking, and muscle cramping

Yes

No

6 Unusual skin sensations, tingling

Includes pins and needles sensations and numbness

Yes

No

7 Shortness of breath, sinus congestion

Includes feeling winded easily and nasal/sinus issues

Yes

No

8 Cough, thirst, confusion

Includes persistent cough, unusual thirst, and feeling confused

Yes

No

9 Appetite swings, body temperature regulation, urinary frequency

Includes inconsistent hunger, feeling too hot/cold, frequent urination

Yes

No

10 Red eyes, blurred vision, sweats, mood swings, ice-pick pain

Includes eye issues, excessive sweating, emotional changes, sharp head pains

Yes

No

11 Abdominal pain, diarrhea, numbness

Includes stomach discomfort, loose stools, and numbness

Yes

No

12 Tearing, disorientation, metallic taste

Includes watery eyes, feeling disoriented, unusual taste in mouth

Yes

No

13 Static shocks, vertigo

Includes frequent static electricity sensitivity and dizziness/balance issues

Yes

No