Free Symptom Quiz Δ
Chronic Pain
Headache Muscle Pain Arthritis Joint Pain Back Pain Nerve Pain Abdominal Pain I am currently on Rx for pain I take OTC for pain I receive shots for pain
Endocrine/Hormonal
Hormonal Imbalances Hypothyroid Type 1(T3 & T4 are below normal levels) Clinical Hypothyroid Type II (blood showing normal levels of symptoms of low thyroid activity) Hashimotos Hyperthyroid (overactive) Low Sex Drive Menopause Low Energy Levels Chronic Fatigue Weight Gain Diabetes/Blood Sugar Dysfunction Hair Loss I am on an Rx Drug for this I am receiving Bio - Identity Hormone Shots
Cardiovascular Issues
High Cholesterol High Blood Pressure Heart Failure Angina Arrhythmia Arteriosclerosis I am on an Rx Drug for this Major Event: Stroke, Heart Attack, Surgery Item 6
Skin Conditions
Acne Eczema Psoriasis Keratosis Unexplained Rashes Rosacea Fungal Infections Keratosis Skin Tags Skin Growths Dermatitis Constant Itching I am on an Rx Drug for this
Digestive Issues
Food Sensitivities IBS Leaky Gut Overeatting I crave sugar all the time Eatting Disorder Slow Digestion I don't have a gallbladder I have no appetite Constipation Diarrhea I take OTC drugs for this I take Rx drugs for this
Neurological/Mood
Addiction (drug, alcohol, food) Depression Anxiety Post Traumatic Head Injury Neurotixicity ADD or ADHD Trouble Concentrating Trouble Remembering Brain Fog Learning Disorders I Take an Rx Drug for this
Women's Health
Trouble Getting Pregnant Trouble Carrying to Term Frequent Yeast Infections Frequent Vaginosis Painful Periods Heavy Periods Irregular Periods Clotty Periods Negative Side Effects from Birth Control I am currently on Hormonal Birth Control I am currently on Non-Hormonal Birth Control Fibrocystic Breasts Painful Breasts Ovarian Cysts Partial of Full Hysterectomy Breast Cancer (family history) Breast Cancer (currently) Breast Cancer Survivor
Sleep Issues
Trouble Falling Asleep Trouble Staying Asleep Wake Feeling Tired I take OTC Drugs for This I take Rx Drugs for this
Immunity
Getting sick often (more than once a year) Getting sick very often (once every 3 months) Get sick every time I travel I take Antibiotics at least once a year
Pathogens - Have You Ever Had:
Chicken Pox Shingles Mono (Epstein Bar Virus) Herpes (above the waist Herpes (below the waist Mumps Lyme HIV Chronic Viral Infections Parasites I take an Rx Drug for this
Allergies
Seasonal / Outdoor Chemical (detergents, perfumes, cosmetics) Environmental (gasoline, smoke Foods I take OTC Drugs for this I take Rx Drugs for this
Emotions - Do You Often Feel:
Anxiety Fear Anger & Frustration Depression and/or Despair Low Self Esteem or Rejection Resentment Irritability Grief Vulnerability Overwhelmed Confusion / Paranoia Denial Just Plain Old STUCK
Stress Level
Crippling Over the Top High Some Low
Have You Every Been Diagnosed with Organ Disease
Liver Kidneys (stones, failure, cancer, etc) Gallbladder (stones, clogged, etc.) Spleen Stomach Small Intestine Large Intestine Colon Pancreas Bone Marrow Brain Heart Lungs Connective Tissues Blood Neurons Prostate Pineal Gland Hypothalamus Thyroid Eyes Tongue Esophagus Valves in the Digestive System Breasts Ovaries Skin Bones Teeth Lymphatic System Bladder Circulatory System
Sinus & Respiratory
Chronic Ear and/or Sinus Infections Chronic Bronchitis Asthma Trouble Breathing Chronic Strep or Throat Infections
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