Electro Hypersensitivity (EHS) survey

Electro hypersensitivity (EHS) is causing distress and loss of quality of life in a growing number of people. According to new estimates, between 3% to 5% of the population is electro-sensitive (the first stage of EHS). People suffering from EHS manifest a multiple number of common symptoms without having any type of health problems or without undergoing any medical treatment. EHS is not a disease; it’s a temporary condition related to high levels of EMF in specific environments.

 

You are invited to participate in a web-based online survey on Electro-Hypersensitivity. This is a research project being conducted by NOXTAK Corp.  It should take approximately 20 minutes to complete.

 

You will receive an email informing about your estimated Electro-Sensitivity level category based on your answers. Also, your responses may help us learn more about Electro-Sensitivity and Electro Hypersensitivity.

 

Learn More / Consent Agreement

 

Thank you for your collaboration!

 

NOTE: THE INFORMATION COLLECTED WILL BE MANAGED CONFIDENTIALLY FOR THE PURPOSE OF RESEARCH IN COLLABORATION WITH THE UNITED NATIONS AND THE FULFILLMENT OF THE 17 GOALS OF THE 2030 SUSTAINABILITY.

 

NOTE: please select the answer you consider the most appropriate for every symptom or problem presented in the survey.

Full Name*
Email*
Business
Phone Number
1. Fatigue (General tiredness)
2. Problems to fall asleep – Insomnia
3. Excessive sleeping
4. Irritability
5. Nervousness
6. Skin problems (rashes, itching,others)
7. Abnormal heart rhythm –Tachycardia (Arrhythmia)
8. Blood pressure problems
9. Irritable bowel
10. Hearing loss
11. Pain in the ears
12. Hearing buzzing sounds
13. Noise in the ears
14. Bells clanging in the ears
15. Hurting eyebrows
16. Blurry vision
17. Dizziness
18. Concentration problems
19. Short term memory problems
20. Headache
21. Reddish facial skin
22. Facial skin inflammation
23. Sensation of heat in the face
24. Numb sensation in the head
25. Sensation of pressure in the head
26. Feeling like a tight band around the head
27. Needle pricking sensation on the skin
28. Sensation of pressure on the chest
29. Sensation of shortness of breath