Questionnaire - Page 8(d) of 9
(1014 maximum possible questions)		 Last updated: Sep 22, 2008

THE ANALYST TM
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This section deals with prescription antibiotic use. Please note specifics in the box below.
896.  Have you taken tetracyclines (Sumycin, Panmycin Vibramycin, Minocin) in the last 5 years?
No
For 1 month
1 to 2 months
2 to 3 months
4 months or longer
897.  Have you taken other broad-spectrum antibiotics for urinary, respiratory or other infections within the last 5 years? Examples include Ciprofloxacin and levofloxacin.
No / don't know
One course under 2 months
One course 2 months or longer
Two courses in a single year
Three or more courses in a single year
898.  Are you currently using prescription antibiotics, antifungals, antivirals or other drugs to kill/control organisms? If so, please answer this question and then list them in the box below. "Short term" is considered roughly 2 weeks or less.
No
Short term current use for a known infection
Short term current use for a suspected infection
Current use of 2 weeks to 3 months
Current use for longer than 3 months

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