NaturalHealth Choice®
   
Natural forces within us are the true healers
--Hippocrates

DETOXIFICATION
QUESTIONNAIRE


The Detoxification Questionnaire mirrors your toxicity condition. Total score less than 80 points indicates mild toxicity.
Total score between 81 and 165 points indicates moderate toxicity. Total score above 165 points indicates severe toxicity.


Please note, that some symptoms indicate conditions that should not be treated by detoxification only.

How to evaluate the symptoms:
  0 - never have the symptom
  1 - appear occasionally with moderate effect
  2 - appear occasionally with severe effect
  3 - frequently have it with moderate effect
  4 - frequently have it with severe effect
 EAR, NOSE AND THROAT
 0 1 2 3 4   Ear infections
 0 1 2 3 4   Sinusitis
 0 1 2 3 4   Allergies, hay fever
 0 1 2 3 4   Excess mucus
 0 1 2 3 4   Lack of smell
 0 1 2 3 4   Chronic coughing, gagging
 0 1 2 3 4   Soar throat
 0 1 2 3 4   Mouth ulcers
 Total Ear, Nose and Throat: 

 EYES
 0 1 2 3 4   Dark circles under eyes
 0 1 2 3 4   Itchy eyes
 0 1 2 3 4   Swollen, red eyelids
 0 1 2 3 4   Blurred vision
 Total Eyes: 

 SKIN
 0 1 2 3 4   Skin rashes, dry skin
 0 1 2 3 4   Increased sweating, oily skin
 0 1 2 3 4   Acne
 0 1 2 3 4   Hot flashes
 0 1 2 3 4   Brown spots
 0 1 2 3 4   Eczema
 0 1 2 3 4   Warts
 Total Skin: 

 MIND
 0 1 2 3 4   Hyperactivity
 0 1 2 3 4   Stuttering, Stammering
 0 1 2 3 4   Poor memory
 0 1 2 3 4   Poor concentration
 0 1 2 3 4   Difficulty making decisions
 0 1 2 3 4   Poor coordination
 0 1 2 3 4   Sleep disturbance
 0 1 2 3 4   Compulsive behavior
 0 1 2 3 4   Confusion
 Total Mind and Brain: 

 EMOTIONS
 0 1 2 3 4   Aggression, irritability
 0 1 2 3 4   Nervousness, anxiety, fear
 0 1 2 3 4   Mood swings
 0 1 2 3 4   Depression, suicidal thoughts
 Total Emotions: 

 GRAND TOTAL:


 JOINTS AND MUSCLES
 0 1 2 3 4   Muscle pain
 0 1 2 3 4   Joints pain
 0 1 2 3 4   Arthritis
 0 1 2 3 4   Tendinitis (tennis elbow)
 0 1 2 3 4   Limited movement (frozen)
 0 1 2 3 4   Fibromyalgia
 0 1 2 3 4   Goat
 Total Joints and Muscles: 


DIGESTIVE SYSTEM

 0 1 2 3 4   Diarrhea
 0 1 2 3 4   Constipation
 0 1 2 3 4   Heartburn
 0 1 2 3 4   Belching, passing gas
 0 1 2 3 4   Nausea or vomiting
 0 1 2 3 4   Bloating
 Total Digestive System: 

 LUNGS AND HEART

 0 1 2 3 4   Chest congestion
 0 1 2 3 4   Asthma, bronchitis
 0 1 2 3 4   Shortness of breathing
 0 1 2 3 4   Chest pain
 0 1 2 3 4   Skipping heartbeats
 Total Lung and Heart: 
 
 KIDNEY
 0 1 2 3 4   Increased urination
 0 1 2 3 4   Passing urine at night
 0 1 2 3 4   Urinary tract infections
 0 1 2 3 4   Stones in kidney
 0 1 2 3 4   Blood in urine
 Total Kidney: 

 METABOLISM
 0 1 2 3 4   Obesity
 0 1 2 3 4   Underweight
 0 1 2 3 4   Water retention
 0 1 2 3 4   Cellulite
 0 1 2 3 4   Craving foods
 0 1 2 3 4   Hypoglycemia
 0 1 2 3 4   Coldness feeling
 Total Metabolism: 


 
Forest2




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