Re: Exfoliative Cheilitis Survey: Fill Me Out!

1-Besides the fact you have EC how would you rate your health

(From 0-10)

8
--------------------------------------------------------------------------
2-When you first developed EC what age group were you in

(A. Under 10 - 18)
--------------------------------------------------------------------------
3-Around how many times do you get sick each year

(B. 1-2 Times)

---------------------------------------------------------------------------
4-How many times a year do you get a serious illness such as chronic bronchitis, the flu, ect ect..

(A. Never)
---------------------------------------------------------------------------
5-Have you ever had any other oral sickness other than EC


(C. No)
----------------------------------------------------------------------------
6-Do you suffer from tooth decay

(B. I have had a few cavitys in my lifetime)
---------------------------------------------------------------------------
7-Have you ever been diagnosed with or do you suspect having diabetes

(D. I doubt I have diabetes)
----------------------------------------------------------------------------
8-Do you ever feel faint and dizzy

(B. Yes on occasion)
--------------------------------------------------------------------------
9-Rate your energy level on an average day,

7
-----------------------------------------------------------------------------
10-When you developed EC were you taking good care of your health

(B. I was doing quite a bit to maintain good health)
-------------------------------------------------------------------------------