Table 1 |
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Survey questions related to thyroid disease |
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| Have you ever been treated for thyroid disease in the past? |
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| Yes |
No |
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|
|
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| If yes (multiple yes answers are possible) |
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| Was this called Graves' disease? |
No |
Yes |
| Was this called Hashimoto's disease? |
No |
Yes |
| Was this called hyperthyroidism? |
No |
Yes |
| Was this called hypothyroidism? |
No |
Yes |
| Did you ever take Synthroid? |
No |
Yes |
| Did you ever take Eltroxin? |
No |
Yes |
| Did you ever take propylthiouricil? |
No |
Yes |
| Did you ever take methimazole? |
No |
Yes |
| Did you ever have radiation treatment for your thyroid? |
No |
Yes |
| At what age were you diagnosed with any of the above? |
________ years old |
|
Sloka et al. Journal of Autoimmune Diseases 2005 2:9 doi:10.1186/1740-2557-2-9 |
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