Do you frequently experience bloating or gas after meals?
Yes
No
Do you suffer from chronic diarrhea, constipation, or a combination of both?
Yes
No
Do you often have abdominal pain or cramping?
Never
1-2 times per month
Weekly
Daily
Do you experience frequent headaches or migraines?
Never
1-2 times per month
Weekly
Daily
Have you struggled with skin rashes like psoriasis, eczema, ringworm, or rosacea?
Yes
No
Have you developed food sensitivities or intolerances that you didn’t have before?
Yes
No
Do you often feel fatigued or have low energy levels, even after a good night’s sleep?
Yes
No
Do you suffer from frequent mood swings, anxiety, or depression?
Yes
No
Do you experience joint pain or inflammation without a clear cause?
Yes
No
Have you noticed difficulty concentrating or experience “brain fog”?
Yes
No
Do you have a weakened immune system and get sick frequently?
Yes
No
Have you developed autoimmune conditions or have symptoms that suggest an autoimmune response?
Yes
No
Do you often feel like you have nutrient deficiencies despite a balanced diet?
Yes
No
Have you experienced unexplained weight gain or difficulty losing weight?
Yes
No
Do you feel puffy, swollen, holding water weight, or inflamed?
Yes
No
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Email
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