- Forums - Sign Up - Reply - Search - Statistics -
www.mast-victims.org forum / Health / Electro Sensitive Questionnaire
Author Message
# Posted: 4 Jul 2006 00:54


I have been asked on several occasions by journalists and possible financial backers of the HESE-UK EMF conference for a compilation of electro sensitive case studies to raise awareness and to illustrate how ES afflicts a wide range of people with its wide ranging symptoms.

Several of us ES have already appeared in articles and the media have asked for details of other sufferers in the UK.

Rod Read of ES-UK has numerous case studies and he is now compiling his data base into a document. Rod has asked me to advise him on media and publicity and this is one way of taking the charity forward. The data produced may also be useful to HESE-UK.

There are also many other ES sufferers who have not registered with ES-UK and who may want to help us build nationwide data base. We are fully aware that to release the case studies, then anonymity of ES is of paramount importance.

There are several ES who have been invited by Sir William Stewart to a meeting about ES and this document will be a useful tool for that meeting.

Among others, Eileen O’Connor and Amanda Wesley have very kindly offered to circulate the following questionnaire throughout their networks for completion. Jean Phillips has also asked for a copy to circulate.

Please feel free to circulate to your groups and ask any interested parties to return completed copies headed up ‘ES questionnaire’ back to me directly:

Many thanks to you all.

Sarah Dacre


Electro Sensitive Questionnaire

We have compiled the following outline questions which may assist you when compiling your history:

Name & location & occupation: (for the avoidance of duplication. When we compile these details into the document we will code these details, such as F43lon, for female aged 43 and living in London)?

How long have you known you are ES? How did you find this out?

Now that you know about ES how long have you been experiencing ES symptoms?


Have you moved house recently and if so, were you becoming ES at an earlier address and if so what were the triggers?

Does anyone else in your household suffer from similar symptoms?

Do your colleagues at work have similar symptoms?


What is your current state of health and how stable is this?

Please list your symptoms, how often do these occur and what are your worst symptoms?

How helpful has your own doctor been and have you been referred by your GP for tests for your ES symptoms?

Please list any treatments either conventional or complimentary that you have tried and which have or has helped you.


How has your life changed since becoming ES, e.g. changes to your career and earning potential, lifestyle, diet, friends, family, travel?

What are you now regularly unable to do?

What have you done to adapt your life e. g bought corded home phone, stopped using a mobile/computer/microwave oven, other?

Have you shielded your home and or workplace? If so what shielding materials did you use.

Have you learnt anything about being ES that you could share with other sufferers?

Please mention any useful sources of information on ES, web sites, hand outs, books which we could recommend to other ES.

Would you be prepared to have your case notes included anonymously into a document, which will be used to raise awareness about electro sensitivity?

Please write any additional comments on a separate sheet.
Please sign and date this form:

MANY THANKS for your time and we look forward to having more ES news for you soon.

Please send the filled in questionaire direct to Sarah Dacre: sarahdacre@aol.com

Your reply
Bold Style  Italic Style  Underlined Style  Image Link  URL Link 

» Username  » Password 
You can post anonymously by entering a nickname with no password (if that nickname has not been taken by another member) or by leaving both fields empty. If you have an account you can also log in from this page without posting a message.

These forums are running on online community script miniBB™ © 2001-2022