Electrical Sensitivity Questionnaire

The following message comes from Sarah Dacre of the UK.

Be aware that if you state that you are electrically sensitive, in the US you will have just 3 years from that time in which to bring any legal suit against the responsible parties. So you may wish to remain anonymous.

Although, to date a lawyer has not been found who is willing to take on the utilities in a human injury case. Let us know if you hear of one.


I have been asked on several occasions by journalists and possible financial backers of the HESE-UK EMF conference for a compilation of electro sensitive case studies to raise awareness and to illustrate how ES afflicts a wide range of people with its wide ranging symptoms. ….

Please feel free to circulate to your groups and ask any interested parties to return completed copies headed up ‘ES questionnaire’ back to me directly:

Many thanks to you all.

Sarah Dacre


Electrical Sensitivity Questionnaire

We have compiled the following outline questions which may assist you when compiling your history:

Name & location & occupation: (for the avoidance of duplication. When we compile these details into the document we will code these details, such as F43lon, for female aged 43 and living in London)?

How long have you known you are ES? How did you find this out?

Now that you know about ES how long have you been experiencing ES symptoms?


Have you moved house recently and if so, were you becoming ES at an earlier address and if so what were the triggers?

Does anyone else in your household suffer from similar symptoms?

Do your colleagues at work have similar symptoms?


What is your current state of health and how stable is this?

Please list your symptoms, how often do these occur and what are your worst symptoms?

How helpful has your own doctor been and have you been referred by your GP for tests for your ES symptoms?

Please list any treatments either conventional or complimentary that you have tried and which have or has helped you.


How has your life changed since becoming ES, e.g. changes to your career and earning potential, lifestyle, diet, friends, family, travel?

What are you now regularly unable to do?

What have you done to adapt your life e. g bought corded home phone, stopped using a mobile/computer/microwave oven, other?

Have you shielded your home and or workplace? If so what shielding materials did you use.

Have you learnt anything about being ES that you could share with other sufferers?

Please mention any useful sources of information on ES, web sites, hand outs, books which we could recommend to other ES.

Would you be prepared to have your case notes included anonymously into a document, which will be used to raise awareness about electro sensitivity?

Please write any additional comments on a separate sheet.

Please sign and date this form. [I have no idea how Sarah expects folks to e-mail this to her. I suggest you just add any additonal comments at the end of the questionnaire and e-mail it to her.]

MANY THANKS for your time and we look forward to having more ES news for you soon.

Please send the filled-in questionaire directly to Sarah Dacre: sarahdacre@aol.com

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