NEUROTOXIC QUESTIONNAIRE
Rate each of the following symptoms to the best of your ability based on your typical day over the past year (for first assessment), and over the past 2 weeks (for additional assessments).
POINT SCALE: 0 = never had it, 1 = occasionally have it, mild effect, 2 = Occasionally have it, severe effect, 3 = Frequently have it, mild effect, 4 = Frequently have it, severe effect