I have a comfortable bowel movement at least once daily. *

Almost Always

Often

Sometimes

Rarely/Never

I experience bloating after meals. *

Almost Always

Often

Sometimes

Rarely/Never

I feel sluggish or heavy after eating. *

Almost Always

Often

Sometimes

Rarely/Never

I have irregularity (constipation or loose stools). *

Almost Always

Often

Sometimes

Rarely/Never

I notice frequent gas, reflux, or stomach discomfort. *

Almost Always

Often

Sometimes

Rarely/Never

I eat ultra-processed foods or fast food. *

Almost Always

Often

Sometimes

Rarely/Never

I consume sweets/desserts. *

Almost Always

Often

Sometimes

Rarely/Never

I drink sugary beverages or sweetened coffee drinks. *

Almost Always

Often

Sometimes

Rarely/Never

I snack due to cravings rather than hunger. *

Almost Always

Often

Sometimes

Rarely/Never

I eat within 2 hours of bedtime. *

Almost Always

Often

Sometimes

Rarely/Never

I feel like I need something sweet to “reset” my energy. *

Almost Always

Often

Sometimes

Rarely/Never

I get 7–8 hours of restful sleep. *

Almost Always

Often

Sometimes

Rarely/Never

I wake up feeling refreshed. *

Almost Always

Often

Sometimes

Rarely/Never

I feel chronically stressed, tense, or on edge. *

Almost Always

Often

Sometimes

Rarely/Never

I rely on caffeine to function. *

Almost Always

Often

Sometimes

Rarely/Never

I experience afternoon energy crashes. *

Almost Always

Often

Sometimes

Rarely/Never

I’m exposed to strong fragrances (air fresheners, scented candles, perfumes). *

Almost Always

Often

Sometimes

Rarely/Never

I use harsh chemical cleaners regularly. *

Almost Always

Often

Sometimes

Rarely/Never

I drink filtered water most of the time. *

Almost Always

Often

Sometimes

Rarely/Never

I store or heat food in plastic containers. *

Almost Always

Often

Sometimes

Rarely/Never

I spend time in poor indoor air (stale, dusty, moldy, or poorly ventilated spaces). *

Almost Always

Often

Sometimes

Rarely/Never

I retain water or feel puffy. *

Almost Always

Often

Sometimes

Rarely/Never

I experience brain fog or low mental clarity. *

Almost Always

Often

Sometimes

Rarely/Never

I have stubborn fatigue even after sleep. *

Almost Always

Often

Sometimes

Rarely/Never

I notice recurring skin issues (breakouts, rashes, unexplained itch). *

Almost Always

Often

Sometimes

Rarely/Never

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