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MEBO/PATM Life Quality Test
MEBO means metabolic body odor and it includes systemic body odor, bad breath and any episodes of malodor NOT related to hygiene or flatulence. PATM denotes "People Allergic To Me" condition. The survey asks about symptoms In the past 24 hours or past few days, up to a week before taking this test. Our estimated time for completion is 3-5 minutes. We'll appreciate if you spend a few more minutes for the last free-text question.
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* Indicates required question
MEBO ID or contact information if you don't have an ID but would like to be invited to participate in the study.
*
Your answer
Your uBiome kit # (N/A if you are not sending your sample this time)
*
Your answer
Your MEBO/PATM status
Choose
active/progressing (experiencing symptoms almost every day or every week)
regression (symptoms are milder, disappearing but not completely)
remission (no symptoms in the last month or longer)
Your Blood group
Choose
A+ (II group, Rh positive)
B+ (III group, Rh positive)
AB+ (IV group, Rh positive)
O+ (Ith group, Rh positive)
A- (II group, Rh negative)
B- (III group, Rh negative)
AB- (IV group, Rh negative)
O- (I group, Rh negative)
Don't know
Option 10
How many people interacted with you in the last 24 hours? Let's count everyone whom you speak to and who speaks back or reacts to you in one way or another (real world, not online or on the phone)
Not a single person
1
2
3
4
5
6
7
8
9
10
10 or more
Clear selection
How many interactions were positive?
None was positive
1
2
3
4
5
6
7
8
9
10
All interactions were positive
Clear selection
How many interactions were negative?
None was negative
1
2
3
4
5
6
7
8
9
10
All were negative
Clear selection
When you woke up today, how well-rested did you feel? Did you feel very rested, somewhat rested, a little rested, or not at all rested?
Very rested
Somewhat rested
A little rested
Not at all rested
Clear selection
Have you (or your trust buddy) detected any MEBO/PATM symptoms in the past few days?
Choose
yes, all the time
most of the time
sometime
rarely
no, never
I don't know. I can't smell myself and don't have anyone to objectively evaluate my condition
How long did it take for the smell (or PATM aura) to go away?
Not applicable (did not have any problems)
Minutes
Hours
Not sure
Clear selection
How far away could your smell (or PATM toxins) be detected?
1 foot
1
2
3
4
5
6
7
8
9
10
10 feet or farther
Clear selection
I felt depressed and isolated because of MEBO/PATM
Choose
all the time
most of the time
sometime
rarely
never
I used heavy-duty scent masking and cleaning products
Choose
all the time
most of the time
sometime
rarely
never
I felt fatigued
Choose
all the time
most of the time
sometime
rarely
never
My appearance was affected because of MEBO/PATM
Choose
all the time
most of the time
sometime
rarely
never
I had problems concentrating
Choose
all the time
most of the time
sometime
rarely
never
I tried to stay away from people because of MEBO/PATM
Choose
all the time
most of the time
sometime
rarely
never
I was worrying about or self conscious about my MEBO/PATM
Choose
all the time
most of the time
sometime
rarely
never
I had problems interacting with people, was covering my mouth or maintained larger distances from people
Choose
all the time
most of the time
sometime
rarely
never
I felt embarrassed because of MEBO/PATM
Choose
all the time
most of the time
sometime
rarely
never
I felt miserable or tense because of MEBO/PATM
Choose
all the time
most of the time
sometime
rarely
never
I avoided going out because of MEBO/PATM
Choose
all the time
most of the time
sometime
rarely
never
I had financial problems because of MEBO/PATM
Choose
all the time
most of the time
sometime
rarely
never
I suffered social/personal loss due to MEBO/PATM
Choose
all the time
most of the time
sometime
rarely
never
I was satisfied with life
Choose
Strongly Disagree
Disagree
Slightly Disagree
Neither Agree or Disagree
Slightly Agree
Agree
Strongly Agree
Did you have any of these symptoms (check only if applicable)?
Some of the time
All the time
Abdominal pain
Anxiety or restlessness
Bloating
Constipation
Diarrhea
Excess gas
Lack of self-confidence
Loss of libido
Irritability or aggression
Problems with self control
Sensitivity to noise or light
Sensitivity to temperature
Sluck muscles
Tender painful breasts
Thin or dry skin
Some of the time
All the time
Abdominal pain
Anxiety or restlessness
Bloating
Constipation
Diarrhea
Excess gas
Lack of self-confidence
Loss of libido
Irritability or aggression
Problems with self control
Sensitivity to noise or light
Sensitivity to temperature
Sluck muscles
Tender painful breasts
Thin or dry skin
Describe your diet, medications, supplements, physical activity, stress in the last couple of days. If applicable, expected number of days before your next period. Anything different from average?
Your answer
Have you read Informed Consent for this Study?
https://aurametrix.com/Studies/mebo-microbiome.html
If you want to participate, please, read it and check the box.
*
By clicking this box, I hereby sign and agree to all the terms and policies presented in this Consent Form.
I do not want to participate
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