top of page
Discomfort rate Pollen allergy (0-10)
Questions
0-10 (10 being worst)
Pollen exposure
Grass exposure
Sneezing
Runny nose
Itchy nose
Itchy eyes
watery eyes
red eyes
itchy throat/ cough
breathing discomfort
Fatigue
Brainfog
Sleep disturbance
Stressed
Daily impact every day
Outdoor limitation
Medication needed
Other Triggers
Other
Relatives with hay fever or Pollen allergies ?
Before session After 1 st session After 2nd session After 3rd session
bottom of page
