Pediatric Environmental Health Questionnaire (PEHQ)

Child’s First Name *

First Name

Child’s Gender *

Child’s Gender

Child’s Age

Your City

City

Your State

State

Your Email Address (optional)

If you provide your contact information, you will receive the results of the survey

1. Indicators of Poor Metabolizers: Does the child experience symptoms from environmental allergens such as cigarettes, dust, pollen, mold, cleaning supplies, exhaust, etc.? *

Yes

2. Allergens: Does the child develop any of the following symptoms when exposed to specific foods/food groups: Stuffy nose, cough, wheezing, rashes, tummy complaints, mood changes/difficulty concentrating? *

Yes

3. Solvents/VOCs: Is the child exposed to the following types of chemicals: Dry cleaning, attached garage, wood stove, busy streets, hobbies with chemicals, home remodeling, standard cleaning products, etc.? *

Yes

4. Pesticides: Does the child have exposure to any of the following: Conventional diet, US public school meals, golf courses, vineyards, farms, pets treated with chemicals, etc.? *

Yes

5. Metals: Does the child have any of the following types of exposures: Broken mercury thermometer, fluorescent bulbs, silver amalgams, regular fish consumption, living in an old home built before 1978, etc.? *

Yes

6. Mold: Has the child been exposed to visible mold or water damage at home or school, or been symptomatic when exposed to central air or heat, etc.? *

Yes

7. Plastics: Does the child have exposure to any of the following: Canned/plastic-wrapped food (especially microwaved), plastic orthodontic devices, plastic water bottles, pacifiers, etc.? *

Yes

8. Personal Care Products: Is your child exposed to any of the following personal care products: Fabric softener sheets, fluoridated toothpaste, scented products, hair products/dyes, make-up, sunblock, etc.? *

Yes

9. Persistent Organic Pollutants (POPS): Has the child been exposed to any of the following personal care products: Dump or Super Fund sites, an industrial plant, non-stick cookware (Teflon), flame retardants (pajamas), etc.? *

Yes

10. Electromagnetic Frequencies (EMFs): Is the child exposed to any of the following at home or school: Power stations, Smart Meters, cell towers, dimmer switches, Wi-Fi/routers, cell phones, an Alexa-type voice assistant, smart watches, baby monitors, etc.? *

Yes

Each YES answer is worth 1 point. Please add up your YES answers and enter the total below. *

Total Points

If you are human, leave this field blank.

Score	Assessment
0 – 4	The child has a low toxicant load, but steps should be taken to lower future risks
4 – 7	The child has a moderate toxicant load which could be a significant obstacle to healing
7 – 10	The child has a very high toxicant load, and steps should be taken quickly to decrease their overall toxic load and improve their health

Meet Michelle Perro, MD

Michelle Perro, MD, is a veteran pediatrician with over four decades of experience in acute and integrative medicine, co-founder and CEO of GMOScience, a 501(c)(3) nonprofit organization. More than fifteen years ago, Dr. Perro transformed her clinical practice to include the health effects from GMOs and their associated pesticides. She has worked as both Emergency Room Director and Attending Physician from New York’s Metropolitan Hospital/New York Medical college to UCSF Benioff Children’s Hospital, Oakland, CA. Dr. Perro has co-authored the highly acclaimed book, What’s Making our Children Sick. Stay tuned for her upcoming book, Making our Children Well, an instructional guidebook for parents on nutrition and homeopathy.

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2025 Michelle Perro, MD. All Rights Reserved//Medical disclaimer/Terms of Use; GMOScience.org is an educational platform focused on holistic healthcare topics for parents. All users of drmichelleperro.com acknowledge that the information in this website is provided “as is” and is for general information purposes only. The information contained on this website is not intended as medical advice, but is instead to be used for educational purposes only. It should not be relied upon as a substitute for professional consultation with a qualified healthcare provider familiar with your child’s individual medical needs.