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Table 2 Baseline questionnaire

From: ARIA 2016: Care pathways implementing emerging technologies for predictive medicine in rhinitis and asthma across the life cycle

Q1: I have rhinitis: yes/no
Q2: I have asthma: yes/no
Q3: My symptoms (tick)
 Runny nose
 Itchy nose
 Sneezing
 Congestion (blocked nose)
 Red eyes
 Itchy eyes
 Watery eyes
Q4: How they affect me: my symptoms (tick)
 Affect my sleep
 Restrict my daily activities
 Restrict my participation in school or work
 Are troublesome
Q5: Medications
Q6: Are you currently receiving immunotherapy (a small dose of the thing you are allergic to, usually taken as an injection or placed under your tongue)? yes/no
 If YES to Q6 (Q7 and Q8)
Q7: What allergy is this?
 Grass pollen
 Parietaria pollen
 Birch pollen
 Other pollen
 Dust mite
 Animal
 Cypress tree pollen
 Don’t know
 Add allergy
Q8: How do you receive your treatment?
 Injection
 Tablet under the tongue
 Drops under the tongue
 Spray under the tongue
 Other