Registration

Month of Birth
If you received an invitation to take part in a study, please enter the study code or patient code here.

Diagnosis

The following information is optional, but entering values helps improving the quality of analysis.

Affected Organs

Medical Tests

The test revealed reactions against these allergens:

Test results for the following pollen were positive:

Antibodies against the following allergens were found in the blood samples:

Email

With this option you permit the pollen diary team to inform you about interesting changes in the pollen diary system (e.g. new functionality) via email.

When this option is activated, you will receive a reminder email if you have not entered data for several days.

The first reminder email will be sent 3 days after your last data entry, another one a week later. After that, there will be one reminder email per month.

Use this option to receive a daily reminder email. This helps you to remember to enter your data every day.

Declaration of Informed Consent

Yes, I have read and understood the   Privacy Protection and Terms of Use   and agree with my data being electronically transferred and stored. My data will strictly only be used for the purpose of keeping the pollen diary.