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Do-it-yourself screening, only; not for self-diagnosis!
A YES to any question means it is possible to improve your health!
You will receive a personal reply ONLY if you include
comments or questions (space at bottom of page).
Mark only boxes where your answer is
YES.
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- Do you eat fast or processed food?
- Have you ever been exposed to antibiotics, chemicals, sedatives, stimulants or pesticides?
- Do you or have you ever lived near air or water pollution?
- Do you ever feel bad enough to go to the doctor, but are told,
"everything is fine"?
- Do you have dull or brittle hair and nails?
- Do you have aches, pains or arthritis?
- Are you over your ideal weight?
- Do you often feel fatigued or out of energy?
- Are there dark circles and/or bags under your eyes?
- Do you use coffee, tobacco, candy or sodas for energy?
- Do you get headaches?
- Do you ever have sinus infections?
- Do you constantly clear your throat?
- Do you have fewer than two bowel movements a day?
- Do you get frequent colds or flu?
- Does your skin look older than your age?
Do you ever have:
- Gas and abdominal bloating?
- An insatiable appetite for food?
- Teeth grinding during sleep?
- Poor memory?
- Foggy thinking?
- Sallow, wrinkled skin?
- Drooling while sleeping?
- Pain in the back, thighs or shoulders?
- Females - menstrual problems?
This Introductory Consultation is for screening only, not evaluation.
If you wish a personal reply include comments or questions below.
You may send questions or comments:
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Name:
Your email address:
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