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  1. Appendix D: Recognition and Management of Mold-Related Illness: Table B: Questions for Patients with Common Symptoms; Table C: Environmental Questionnaire; Table D: Current Symptoms
    Source: U Conn Health
    Format: PDF
    Annotation: University of Connecticut Health Center, Division of Occupational and Environmental Medicine, Center for Indoor Environments and Health has mold questionnaires in Tables B, C, and D of Appendix D (page D-1) of "Guidance for Clinicians on the Recognition and Management of Health Effects related to Mold Exposure and Moisture Indoors." Questionnaires in the tables consist of a general health history, items pertaining to possible symptoms, work/residence settings and locations for the respondent, potential exposures, and diagnostic assessment. Table B: Questions for Patients with Common Symptoms is on page D-3. Table C: Environmental Questionnaire is on page D-4. Table D: Current Symptoms: History and Relationship to Home, Work, or School (For Patients in which a Potential Exposure to Mold Exists) is on page D-6. This resource was identified by the NIH Disaster Research Response Program (DR2) for researchers looking for pre- and post-disaster data collection instruments.

    Ease of Use in Disaster Setting: Moderate
    Population: Residential/Workplace
    Length: 50 questions
    Administered by: Self Administered/Self Report
    Language(s): English    ...[See more] [See less]
    URL: https://health.uconn.edu/occupational-environmental/wp-content/uploads/sites/25/2015/12/mold_guide.pdf
    Type: Guideline/Assessment Tool
    Access Notes: Free/Publicly Available

    Citation(s):
    Storey E, Dangman KH, Schenck P. Guidance for clinicians on the recognition and management of health effects related to mold exposure and moisture indoors. Farmington, CT: University of Connecticut Health Center, Division of Occupational and Environmental Medicine, Center for Indoor Environments and Health. 2004.
    http://doem.uchc.edu/consultation_outreach/indoor_environments/pdfs/mold_guide.pdf

    Contact information:

    Institution: University of Connecticut Health Center
    Center for Indoor Environments and Health
    Address: 263 Farmington Avenue
    Farmington, CT 06030-6210
    Web: http://doem.uchc.edu/consultation_outreach/indoor_environments/

    Tables B, C, and D of Appendix D (page D-1) of "Guidance for Clinicians on the Recognition and Management of Health Effects related to Mold Exposure and Moisture Indoors."

    MS Word
    PDF

    Includes Research Tools: Yes.
    ID: 7815. From: Disaster Lit®a database of the U.S. National Library of Medicine.
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