| Yes |
No |
Question |
|
|
Do you run out of energy in the afternoon? |
|
|
Do you suffer from occasional headaches? |
|
|
Are you having less than 2-4 bowel movements daily? |
|
|
Do you have problems concentrating from time to time? |
|
|
Do you experience gas or bloating 1 or more times weekly? |
|
|
Is it hard for you to stay in a good mood? |
|
|
Do you get irritable from time to time? |
|
|
Do you have difficulty getting a good nights rest? |
|
|
Do you have muscle aches, and stiffness? |
|
|
Do you eat meat, sugar, fried foods and carbohydrates? |
|
|
Do you drink less than ½ gallon of purified water daily? |
|
|
Do you have problems controlling your weight? |
|
|
Do you exercise less than 3x weekly? |
|
|
Do you suffer from allergies or sinus problems? |
|
|
Do you have bad breath or body odor? |
|
|
Are you unhappy with your current health? |
|
|
Are you currently suffering from any health problems? |
|
|
Do you have hemorrhoids? |
|
|
Is your skin broken out or blemished in any way? |
|
|
Do you have frequent alternating bouts with constipation and diarrhea? |
|
|
Do you have occasional abdominal pain? |
|
|
Does it take you more than 5 minutes in the bathroom to have a bowel movement? |
|
|
Do you have to strain to have a bowel movement? |
|
|
Do your bowel movements have a foul odor? |
|
|
Do you have hard, small or dry feces 1-2 times weekly? |
|
|
Do you have painful bowel movements? |
|
|
Do you have diarrhea 1-2 times per month? |
