Please indicate whether or not these odors or exposures would make you feel sick... | Not at all a problem | Moderate symptoms | Disabling symptoms |
---|---|---|---|
Diesel or gas engine exhaust | Â | Â | Â |
Tobacco smoke | Â | Â | Â |
Insecticide | Â | Â | Â |
Gasoline | Â | Â | Â |
Paint or paint thinner | Â | Â | Â |
Cleaning products such as disinfectants, bleach, bathroom cleaners or floor cleaners | Â | Â | Â |
Certain perfumes, air fresheners or other fragances | Â | Â | Â |
Fresh tar or asphalt | Â | Â | Â |
Nail polish, nail polish remover, or hair spray | Â | Â | Â |
New furnishings such as new carpeting, a new soft plastic shower curtain or the interior of a new car | Â | Â | Â |