English Español English Immune Status Questionnaire Question Title * 1. Name Question Title * 2. Please indicate how often you have had the following complaints in the last 12 months: Never Sometimes Regularly Often Almost Always Sudden High Fever Sudden High Fever Never Sudden High Fever Sometimes Sudden High Fever Regularly Sudden High Fever Often Sudden High Fever Almost Always Diarrhea Diarrhea Never Diarrhea Sometimes Diarrhea Regularly Diarrhea Often Diarrhea Almost Always Headache Headache Never Headache Sometimes Headache Regularly Headache Often Headache Almost Always Skin problems (e.g. acne & eczema) Skin problems (e.g. acne & eczema) Never Skin problems (e.g. acne & eczema) Sometimes Skin problems (e.g. acne & eczema) Regularly Skin problems (e.g. acne & eczema) Often Skin problems (e.g. acne & eczema) Almost Always Muscle and Joint Pain Muscle and Joint Pain Never Muscle and Joint Pain Sometimes Muscle and Joint Pain Regularly Muscle and Joint Pain Often Muscle and Joint Pain Almost Always Common Cold Common Cold Never Common Cold Sometimes Common Cold Regularly Common Cold Often Common Cold Almost Always Coughing Coughing Never Coughing Sometimes Coughing Regularly Coughing Often Coughing Almost Always Next