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  • Great! Now we're going to ask a few questions about your general health and diet. Click "next" to continue.

  • Food and Exercise

    Tell us about your food and exercise routines.
    Do you exercise less than 3 times a week for 30 minutes at a pace where you are able to carry a conversation with a little strain (ie huffing or puffing)?
    This includes any tobacco usage, such as cigarettes, cigars, pipes, and vaping/e-cigarettes.
    Artificial sweeteners are products like Aspartame, Splenda, and Nutrisweet.
  • Great!

    Let's move on to the next set of indicators.
  • Energy Levels

  • Hair, Skin, and Nails

    Check all that apply
    Check all that apply
  • Lifestyle Diseases

    (living in a home with mold, living in a climate with high incidences of mold, working in older buildings, etc.)
  • You're doing great!

    Next we're going to look at your body's immunity, digestion, and any pain.
  • Immunity

    (including rashes, eczema, and hives)
    (ie MS, Ulcerative Colitis, Crohn’s Disease, Rheumatoid Arthritis, Meniere’s Disease, and Raynaud’s Phenomenon)
  • Pain

  • Digestion

    (ie bloating, pain, gas, nausea or excessive body odor)
    (ie less than one bowel movement a day and or hard or difficult stools)
  • Keep going!

    One last page and you're done!
  • Lungs and Extremities

  • Questions for Men

  • Questions for Women

    (ie the birth control pill, patch hormonal creams or Norplant)
    (ie Estratab, Menest, Premarin, Premphase and Prempro)
    (ie breast tenderness or water retention, mood changes, discomfort or pain)
    (ie changeable periods, hot flashes, heavier periods, changeable moods)
  • That's it!

    Click the submit button to send your results to your doctor.
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