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Do you experience itchy or watery eyes, runny nose, plugged-up nose, or sneezing?
Yes
No
What time of year are your symptoms worst?
Spring
Summer
Fall
Winter
All year
Do you have asthma?
Yes
No
Is it:
Mild
Moderate
Severe
Do you you get frequent sinus infections or ear infections?
Yes
No
Do you have pets?
Yes
No
Do they cause allergy symptoms?
Yes
No
Do you have ongoing or chronic cough?
Yes
No
Have you tried taking antihistamines such as Claritin (loratadine), Allegra (fexofenadine), Zyrtec (cetirizine), Benadryl (diphenhydramine), Dimetapp (brompheniramine) Chlortrimeton (chlorpheniramine)?
Yes
No
Are they effective in relieving your allergy symptoms?
Yes
No
Have you ever had a severe reaction to a bee sting (i.e., swelling of mouth or throat, difficulty breathing, or been to the emergency room?
Yes
No
Do you have eczema or other itchy rashes?
Yes
No
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Managing Anaphylaxis
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