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This is a self-assessment quiz. At the end you will receive an email with your results and suggestions for what to do if you are suspected of having Chronic Active Epstein-Barr Virus (EBV).

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Part 1: Have you experienced any of these in your life?

Please check all that apply.

I have had “the worst flu ever” that would linger.

I have had tonsillitis, tonsils removed, or pharyngitis.

I was really hit during hormonal change(s): puberty, post-partum, or menopause (e.g. postpartum depression).

I have celiac: despite being meticulously GF, I still don’t feel well.

I have had infectious mononucleosis or I was extremely fatigued in past (e.g. during college).

When I had to take corticosteroid medications, I felt as if I had been hit by a truck.

My lymph nodes can really get inflamed, especially during stress.

I got very ill during a severely stressful period of my life.

I have had periods of depression and/or low-grade fever.

I have been tested positive for heavy metals.

I have had blood transfusion.

I have developed a strong sensitivity to mosquito bites.

I have developed an egg allergy.

None of the above.

1 out of 4

Part 2: Have you been diagnosed with any of these autoimmune disorders?

Please check all that apply.

Thyroid: Hashimoto’s Thyroiditis or hypothyroidism; Graves or Hyperthyroidism

Multiple Sclerosis

Systemic Lupus Erythematosus

Rheumatoid Arthritis

Lyme Disease

Sjogren’s Syndrome

Acute or Autoimmune Hepatitis

Chronic Fatigue Syndrome

Atherosclerosis

Scleroderma (Systemic Sclerosis)

Crohn’s Disease with atypical multiple intestinal ulcers or intestinal tuberculosis with an unusual clinical course

Crohn’s Disease/Ulcerative Colitis that does not respond to medical intervention

Type 1 Diabetes

None of the above

2 out of 4

Part 3: Have you had any of these complications?

Please check all that apply.

Chronic Inflammatory Demyelinating Polyneuropathy

Encephalitis

Meningitis

Acute Disseminated Encephalomyelitis

Cerebelitis

Myelitis

Myositis

Parkinson’s Disease (a hypothesis)

Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)

Cerebellar Ataxia

Genital Ulcers, Oral and Mucocutaneous Ulcers

Guillian-Barre Syndrome

None of the above

3 out of 4

Part 4: Do you have (or had) any of these types of cancer

Please check all that apply.

Hodgkin and Non-Hodgkin Lymphomas

Burkitt Lymphoma

Nasopharyngeal Carcinoma

Stomach Cancer

Gastric Lymphoepitheliac Carcinoma

Angioimmunoblastic T-cell Lymphoma

Leiomyosarcoma

Colorectal or Breast Cancer

T/NK-Cell Lymphoma, Angioimmunoblastic T-ell Lymphoma, or nasal T/NK-Cell Lymphoma

Thyroid Cancer

Papillary Thyroid Carcinoma

Malignant Lymphoma of the thyroid

Posttransplant Lymphoproliferative Disorder

None of the above

4 out of 4

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Chronic Active Epstein-Barr Virus Quiz

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