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Tick bite survey

Purpose

Thank you for helping BADA-UK by completing our questionnaire. The questions can be answered by anyone who is visiting this site. Even if you have never found a tick on yourself, we want to find out if you know how to recognise one, and if you know how a tick should be removed.

If you have been bitten by a tick, we want to know all about the circumstances of the bite, how the tick was removed, and what happened afterwards. If you don’t remember being bitten, but you suspect you have a tick-borne disease, we want to know.

Your answers will help us to better determine the level of understanding and awareness, regarding ticks and tick-borne diseases, amongst UK residents. They will also give us a better indication as to the extent of tick-borne diseases, primarily throughout the UK and Europe. The data we collate will then be used to help us further refine the information we provide to the public and, once a sufficient sample of surveys has been received, we intend to publish the statistical results.

Instructions

Fields marked with * are optional. Your name and address is not compulsory, however, providing these details will create more credible data. These details will not be used for any purpose other than this survey without your permission.

Please answer all questions that relate to you, putting N/A as the answer to those that don't apply.

If you don't like online forms, you can download and complete the survey in Word format from our downloads page.

About you

Your name: *

Your address: *

Age: Gender: Select Male Female

Before finding this site

Did you know about the existence of ticks in the UK? Select Yes No N/A

Where did you learn about ticks in the UK? E.g. Internet, book, newspaper, family member.

Did you know about the existence of tick-borne diseases in the UK? Select Yes No N/A

Where did you learn about tick-borne diseases in the UK? E.g. Internet, book, newspaper, family member.

Could you recognise a tick? Select Yes No N/A

How did you learn to recognise a tick? E.g. Internet, book, newspaper, family member.

About being bitten

Do you remember being bitten? Select Yes No N/A

If "no": go straight to the next section.

Did you see what you were bitten by? Select Yes No N/A

Where, geographically, were you, when you were bitten?

When were you bitten?

Month January February March April May June July August September October November December Year Pre 1970 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2006 2006

What were you doing when you were bitten?

Were there any warning notices about ticks and tick-borne disease? Select Yes No N/A

Did you remove the tick yourself? Select Yes No N/A

How was the tick removed?

Did you keep the tick for future testing? Select Yes No N/A

Did you notify anyone of the bite? Select Yes No N/A

Did your bite result in any symptoms? Select Yes No N/A

Treatment, testing and diagnosis

Do you suspect that you have a tick-borne disease? Select Yes No N/A

If "no": go straight to the next relevant question.

If you don't recall any tick bite, did your doctor volunteer to test for tick-borne infections? Select Yes No N/A

If you do recall a tick bite, did your doctor volunteer to test for tick-borne infections? Select Yes No N/A

Was your testing, treatment or diagnosis private or NHS? Select NHS Private N/A

If tested, diagnosed or treated privately, was this carried out abroad, or in the UK? Select UK Abroad N/A

What tests did you have?

What were the results of your tests?

Were you offered any treatment? Select Yes No N/A

What treatment were you offered?

After infection

If you have been infected, do you still donate blood? Select Yes No N/A

Have you had any children since becoming infected? Select Yes No N/A

If so, is your child or, are your children, in good health? Select Yes No N/A

If you have a partner, has their health deteriorated following your infection? Select Yes No N/A

Do you know anyone else in the UK who has a tick-borne disease? Select Yes No N/A

Your health: excluding tick-borne diseases

Have you ever been diagnosed with any other medical condition(s) e.g. ME/CFS, Fibromyalgia, MS etc?

Comments

Do you have any other comments?

Future contact from BADA-UK

Yes, you may contact me in future surveys.

Yes, you may contact me regarding the information in this survey.

If yes to either of the above, please provide your email address.

Many thanks for completing this questionnaire. Your time and effort is greatly appreciated.