Check Your Symptoms – Get a Free Assessment Today!

This assessment is for informational purposes only and is based on the official symptoms of Chronic Inflammatory Response Syndrome (CIRS). If you answer "Yes" to 8 or more of the 13 symptom groups, you may have CIRS.

Instructions:

Review your symptoms over the past two weeks.
If you experience at least one symptom in a group, select "Yes."
If you do not experience any symptoms in a group, select "No."

Personal Information:

Full Name *

Email *

CIRS Symptom Questionnaire

Fatigue *

Yes

No

Weakness, aches, headache, light sensitivity *

Yes

No

Memory impairment, word finding *

Yes

No

Joint pain, Morning stiffness, muscle cramps *

Yes

No

Unusual skin sensations, tingling *

Yes

No

Shortness of breath, sinus congestion *

Yes

No

Cough, thirst, confusion *

Yes

No

Appetite swings, body temperature regulation, urinary frequency *

Yes

No

Red eyes, blurred vision, sweats, mood swings, ice-Pick pain *

Yes

No

Abdominal pain, diarrhea, numbness *

Yes

No

Tearing, disorientation, metallic taste *

Yes

No

Static shocks, vertigo *

Yes

No

CIRS Score

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