Do you experience any of the following symptoms?
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Bloating
Pain
Gas
Constipation
Diarhhoea
I don’t experience any of these symptoms
How often do these symptoms affect your life?
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Daily
Multiple Times a Week
A Few Times Per Month
Have you noticed if your symptoms are worse around a full moon?
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Yes
No
I've never noticed
Do you experience any joint pain?
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Yes
No
Do you often feel moody and dysregulated?
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Often
Sometimes
Never
Do you suffer from any food intolerances?
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Yes
No
Are you willing to commit to making dietary and lifestyle changes to improve your health?
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Yes
No
Do you suffer any of the below symptoms around the time of your period (for women)?
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Bloating
PMS
Pain
Loose Stools
I don’t experience any of these symptoms
Thank you for taking the test! This information is going to be sent to a fully qualified Naturopath for analysis, who will contact you for the next steps to finalise your analysis. Please use this upload link to forward any diagnostics or pathology you have received that you would like reviewed as part of the process.
Should you not wish to send any files, simply click the arrow to next.
First Name
*
Last Name
*
Mobile
*
Email
*