Just so I know who you are, a few details first.
First Name
Last Name
Email
*
How often are you bothered by your gut symptoms? eg bloating, reflux, constipation?
Less than once a month
1-3 times per month
1-2 times per week
Daily
No elements found. Consider changing the search query.
List is empty.
Do you take medication regularly to help ease the pain and discomfort?
Yes
Sometimes
Rarely
Never
No elements found. Consider changing the search query.
List is empty.
How many servings of vegetables do you eat in a day?
1-2
3-5
7-10
None
No elements found. Consider changing the search query.
List is empty.
How many servings of fermented foods do you include in your weekly diet?
None
1-2
Once a day
3-4
No elements found. Consider changing the search query.
List is empty.
How much sleep do you get a night on average?
5 or fewer
Between 5-7
7 or more
No elements found. Consider changing the search query.
List is empty.
How oftern are you negatively affected by stress?
less than once a month?
1 to 3 times a month?
Every week?
Daily
No elements found. Consider changing the search query.
List is empty.
Do you suffer with any of the following?
Frequently upset stomach
Having low energy/ persistant fatigue
Unexplained changes to the weight/ bloating
Expiriencing skin or food intolerances
Brain fog / mood changes
Heacy or painful periods
No elements found. Consider changing the search query.
List is empty.
When was the last time you prescribed anti-biotics?
Within the past month
Within the past year
Within the past 5 years
I cant remember
No elements found. Consider changing the search query.
List is empty.
When was the last time you had food poisoning or a tummy bug?
Within the past month
Within the past 3 months
Within the past year
I cant remember
No elements found. Consider changing the search query.
List is empty.
Have you experienced an overwhelming or traumatic event?
Within the past year
Within the past 2 years
Within the past 5 years
Would rather not say.
No elements found. Consider changing the search query.
List is empty.