Fields marked with an * are requiredThe 3-step checklist 30,000 doctors use to pinpoint and successfully treat people with headaches, digestive disorders and frustrating overweight. Which symptom are you experiencing? * HeadachesDigestive DisordersFrustrating OverweightDetailed set of symptom questionsSYMPTOM POINT SCALE: Use the point scale to rate your symptoms based on how you’ve been feeling over the past 30 days.0 = never or almost never have the symptom1 = occasionally have it, effect is not severe2 = occasionally have it, effect is severe3 = frequently have it, effect is not severe4 = frequently have it, effect is severe01234 Dizziness 01234 Faintness 01234 Headaches 01234 Insomnia 01234 Lightheadedness 01234 Aches in muscles 01234 Arthritis 01234 Feeling of weakness 01234 Limited movement 01234 Pain in joints 01234 Stiffness 01234 Detailed set of symptom questionsSYMPTOM POINT SCALE: Use the point scale to rate your symptoms based on how you’ve been feeling over the past 30 days.0 = never or almost never have the symptom1 = occasionally have it, effect is not severe2 = occasionally have it, effect is severe3 = frequently have it, effect is not severe4 = frequently have it, effect is severe01234 Belching 01234 Bloated feeling 01234 Constipation 01234 Diarrhea 01234 Nausea 01234 Passing gas 01234 Stomach pains 01234 Vomiting 01234 Detailed set of symptom questionsSYMPTOM POINT SCALE: Use the point scale to rate your symptoms based on how you’ve been feeling over the past 30 days.0 = never or almost never have the symptom1 = occasionally have it, effect is not severe2 = occasionally have it, effect is severe3 = frequently have it, effect is not severe4 = frequently have it, effect is severe01234 Binge eating 01234 Compulsive eating 01234 Cravings 01234 Excessive weight 01234 Underweight 01234 Water retention 01234 Other SymptomsSYMPTOM POINT SCALE: Use the point scale to rate your symptoms based on how you’ve been feeling over the past 30 days.0 = never or almost never have the symptom1 = occasionally have it, effect is not severe2 = occasionally have it, effect is severe3 = frequently have it, effect is not severe4 = frequently have it, effect is severeEARS01234 Drainage from ear 01234 Ear aches 01234 Ear infections 01234 Hearing loss 01234 Itchy ears 01234 Ringing in ears 01234EMOTIONS01234 Aggressiveness 01234 Anxiety/fear 01234 Depression 01234 Irritability/anger 01234 Mood swings 01234 Nervousness 01234ENERGY & ACTIVITY01234 Apathy 01234 Fatigue 01234 Hyperactivity 01234 Lethargy 01234 Restlessness 01234 Other SymptomsEYES01234 Blurred vision 01234 Dark circles 01234 Itchy eyes 01234 Sticky eyelids 01234 Swollen eyelids 01234 Watery eyes 01234LUNGS01234 Asthma/bronchitis 01234 Chest Congestion 01234 Difficulty Breathing 01234 Shortness of Breath 01234 Wheezing 01234MOUTH & THROAT01234 Canker sores 01234 Gagging 01234 Often clear throat 01234 Sore throat 01234 Swollen tongue/lips/gums 01234 Other SymptomsNOSE01234 Excessive mucous 01234 Hay fever 01234 Sinus problems 01234 Sneezing attacks 01234 Stuffy nose 01234SKIN01234 Acne 01234 Dermatitis 01234 Eczema 01234 Excessive sweating 01234 Flushing/hot flashes 01234 Hair loss 01234 Hives/rashes 01234 Itching 01234Other SymptomsMIND01234 Confusion 01234 Learning disabilities 01234 Poor concentration 01234 Poor memory 01234 Stuttering/stammering 01234OTHER01234 Anaphylactic reactions 01234 Chest pains 01234 Frequent illness 01234 Genital itch 01234 Irregular heartbeat 01234 Rapid heartbeat 01234 We have a personalized food allergy analysis for you, including a Free Consultation with a client support expert on your #1 problem. Please, tell us where to send your results: First Name * Email *
