Post COVID Questionnaire

SELECT WHICH SYMPTOMS YOU HAVE:

1. LightheadedFainting and near faintingFatigueBrain Fog or Mental cloudinessDifficulty findings wordsShort term memory lossSensory: hypersensitive to light, sound, motion, touchPins and needs in arms/legsNumbness in hands and feetCoat hanger pain in neck and shouldersMigraine HeadacheTension headachesNausea, vomitingDifficulty standingChest pain, palpitationsShort of breathHypermobility joints- Joints pop outDepression, anxietySweat too muchSweat too littleSalivate too little, Dry mouthCold hands or feetDimmed visionDimmed hearing or ringing in earsDoes hot or cold weather bother you