Volume 11, Number 1—January 2005
Research
Hypersensitivity to Ticks and Lyme Disease Risk
Table A1
Tick exposure history in standardized serosurvey questionnaire
| 1. How many years have you spent on Block Island? _________ |
| During which months? All___ If not all, check all that apply: Jan_Feb_Mar_Apr_May_June_July_Aug_Sept_Oct_Nov_Dec_ |
| 2. How many hours a day do you spend out of doors near vegetation? Less than 1 ___Several ___ 5 or more ___ |
| 3. Do you keep a pet on Block Island? Dog __ Cat __ Horse __ Other__ |
| 4. How frequently do you see deer around your BI residence? Daily __ Weekly__ Less frequently__ |
| 5. Have you been bitten by a tick this year? Yes__ No__ |
| If yes, was it a deer tick__ wood/dog tick__ tiny__ large __ |
| If yes, was it on Block Island? Elsewhere? |
| 6. Do your tick bites itch? Yes_ No ___ |
| 7. When outdoors, what personal protection measures against ticks do you employ? None__ Repellant__ Long pants/socks__ Avoid brush__ Tick check__ |
| 8. Do you try to control ticks around your residence? Yes__ No __ Chemical spray__ Damminix__ Brush control__ Other ________ |
1Harvard University: Richard Pollack, Steven Tahan; Connecticut Children's Medical Center: Patricio Tomas, Diane Christianson; University of Connecticut School of Medicine: T.V. Rajan, Raymond Ryan, Feliciano Dias, Pamela Fall, Tracey Urso, Christine Abreu, Jonathan Covault; Block Island Medical Center: Peter Baute, Linda Closter, Janice Miller.


