Mercury Sensitivity Self-Test

This Mercury Sensitivity Self-Test was part of a US FDA approved study to assess how body burden of mercury is determined, toxicity levels, etc.

It serves as an alert to clinicians when patients have scores of "Yes" in 5 or more of the 30 questions. It is recommended that such patients be referred to dentists with special knowledge of safe mercury silver amalgam removal and replacement.

There are 30 questions

Mercury Sensitivity Self-Test

  1. Have you had sore gums (gingivitis) often over the years?
    Yes
    No
    No Answer
  2. Have you had mental symptoms such as confusion or forgetfulness?
    Yes
    No
    No Answer
  3. Has severe depression been a frequent problem?
    Yes
    No
    No Answer
  4. Has ringing in the ears (tinnitus) been present?
    Yes
    No
    No Answer
  5. Have TMJ (temporomandibular joint) problems been a concern of yours?
    Yes
    No
    No Answer
  6. Have you had unusual shakiness (tremors) of your hands or arms or twitching of other muscles?
    Yes
    No
    No Answer
  7. Do you have "brown spots" or "age spots" under your eyes or elsewhere in the skin of your body?
    Yes
    No
    No Answer
  8. Have you tended to have more colds, flu, and other examples of infectious diseases than "normal"?
    Yes
    No
    No Answer
  9. Have you had food allergies or intolerances?
    Yes
    No
    No Answer
  10. Have you been to many doctors for your health problems and they have usually said, "There is nothing wrong"?
    Yes
    No
    No Answer
  11. Do you have numbness or burning sensations in your mouth or gums?
    Yes
    No
    No Answer
  12. Do you have numbness or unexplained tingling in your arms or legs?
    Yes
    No
    No Answer
  13. Have you developed difficulty in walking (ataxia) over the years?
    Yes
    No
    No Answer
  14. Do you have 10 or more "silver" fillings?
    Yes
    No
    No Answer
  15. Do you often have a "metallic" taste in your mouth?
    Yes
    No
    No Answer
  16. Have you ever worked as a painter or in manufacturing/chemical or pesticide/fungicide factories (fungicides with methyl mercury ingredients) or in pulp/paper mills that used mercury?
    Yes
    No
    No Answer
  17. Have you worked as a dentist, hygienist, or dental assistant?
    Yes
    No
    No Answer
  18. Have you ever had Candida-Related Complex (CRC) or yeast infections (vagina, mouth, or GI tract)?
    Yes
    No
    No Answer
  19. Do you have a lot of bad breath (halitosis) or white tongue (thrush)?
    Yes
    No
    No Answer
  20. Have you frequently had low basal body axillary temperature (below 97.4 degrees Fahrenheit) over the years?
    Yes
    No
    No Answer
  21. Do you have problems with constipation?
    Yes
    No
    No Answer
  22. Do you have heart irregularities or a rapid pulse (tachycardia)?
    Yes
    No
    No Answer
  23. Do you have unexplained arthritis in various joints?
    Yes
    No
    No Answer
  24. Is it common for you to have a lot of mucus in your stools?
    Yes
    No
    No Answer
  25. Do you have unidentified chest pains even after EDGs, X-ray and heart studies are normal?
    Yes
    No
    No Answer
  26. Is your sleep poor or do you have frequent insomnia?
    Yes
    No
    No Answer
  27. Have you had frequent kidney infections or do you have significant kidney problems?
    Yes
    No
    No Answer
  28. Are you extremely fatigued much of the time and never seem to have enough energy?
    Yes
    No
    No Answer
  29. Do you have irritability or dramatic changes in behavior?
    Yes
    No
    No Answer
  30. Are you on antidepressants now or have you been in the past?
    Yes
    No
    No Answer
Count the number of "Yes" answers, then click on Results
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