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Feb 8, 2016

Toxicity Self Test

Toxicity Self Test

Rate each of the following symptoms based upon your health profile


Point scale:
0 = never or almost never
1 = occasionally
2 = frequently
3 = daily, effect is not severe
4 = daily, effect is severe
DIGESTIVE
__Nausea or vomiting
__Diarrhea
__Constipation
__Bloated feeling
__Heartburn
__TOTAL

MIND
__Poor memory
__Confusion
__Poor concentration
__Poor coordination
__Stuttering, stammering
__Slurred speech
__Learning problems
__Difficulty making decisions
__TOTAL

EARS
__Itchy ears
__Earaches, ear infection
__Drainage from ear
__Ringing in ears
__Hearing loss
__TOTAL

RESPIRATORY
__Chest congestion
__Hay Fever
__Asthma, bronchitis
__Excessive Mucous
__Shortness of breath
__Stuffy nose
__Difficulty breathing
__Sinus problems
__Sneezing attacks
__TOTAL

EMOTIONS/WEIGHT
__Mood swings
__Binge eating/drinking
__Anxiety, fears, nervousness
__Craving certain foods
__Anger, irritability
__Excessive weight
__Depression
__Compulsive eating
__Underweight
__Water retention
__TOTAL

ENERGY HEART
__Fatigue, sluggish
__Skipped heartbeats
__Apathy, lethargy
__Rapid heartbeats
__Hyperactivity
__Chests Pain
__Restless
__TOTAL

MOUTH/THROAT;
__Gagging
__Swollen or discolored tongue,gums,lips
__Chronic coughing
__Sore throat, hoarse
__Canker sores
__TOTAL

EYES
__Watery, itchy eyes
__Dark circles under eyes
__Blurred tunnel vision
__Tunnel vision
__TOTAL

JOINTS/MUSCLES
__Joint pain oraches
__Arthritis
__Stiffness, limited movement
__Muscle pain/aches
__Weakness, fatigue
__TOTAL

ENVIRONMENTAL EXPOSURE
__Pesticides/ Herbicides
__Animals in home
__Air freshener
__Dry cleaning
__New home furnishings
__Silver dental fillings
__Smokers
__Moth Balls
__Manicures
__Paints, cleaners, gas
__Carpeting
__Silicone or Teflon implants
__Excessive traffic exposure - home, jogging, bicycling
__Office equipment - copy machines, photography, printing, construction, metal work, silk screening.
__Military service
__TOTAL

OTHER
__Frequent Illness
__Frequent/urgent urination
__Genital itch/discharge
__TOTAL
___GRAND TOTAL
51-75 Mild toxicity
76-100 Moderate toxicity
>101 Severe toxicity