The possibility of extremely low frequency electromagnetic fields (ELF EMF) causing a number of medical conditions and common symptoms remains a concern and presents somewhat of a quandary to health educators in view of conflicting results. This study investigated the relationship of a number of EMF sources to reported symptoms in an attempt to, together with a literature review, elaborate a rational response. Responses to 3,279 fully completed questionnaires distributed throughout Kuwait were separated into those not in close proximity at home, school or work to 1) powerlines or cellphone towers; 2) transformers/substations or cell phone towers; and 3) transformers/substations or power lines, and then analyzed by sequential logistic regression within these cohorts according to presence or absence of other sources of electromagnetic fields. Significant relationships (P less than 0.05) found between proximity to various sources of ELF EMF, both external and domestic, and various symptoms on primary analysis were largely not maintained when confounding factors were taken into account. It is concluded that the message should remain one of reassurance combined with prudent steps to reduce exposure. (Contains 2 tables.)