1. What symptoms are you experiencing? Sneezing Itchy or watery eyes Runny or stuffy nose Coughing Wheezing or shortness of breath Skin rash or hives Swelling (lips, face, throat) Difficulty breathing / Anaphylaxis Fatigue Nausea or vomiting Diarrhea Headache Dizziness

2. When do these symptoms occur? During specific seasons (e.g., spring, fall) Indoors (e.g., at home, office) Outdoors (e.g., in parks, gardens) After eating certain foods After touching certain materials After taking medication After insect bites or stings

3. What triggers worsen your symptoms? Pollen Dust or dust mites Pet dander Mold Certain foods Chemicals or fragrances Latex or rubber Medications (e.g., penicillin, aspirin) Insect stings or bites