
Rate the frequency of each symptom. Choose the appropriate option:

Rate the frequency of each symptom. Choose the appropriate option:

Indicate how often you experience the listed conditions or habits.

Indicate how often you experience the listed conditions or habits.

Indicate how often you experience the listed conditions or habits.

Indicate how often you experience the following symptoms.

Indicate how often you experience the following symptoms.

Indicate how often you experience the symptoms listed.

Please select how often you experience the listed symptoms.

Select how often you experience the listed symptoms and habits.

Questionnaire based on Dr. Ertog's method for assessing the likelihood of vitamin B1 deficiency.

The questionnaire helps to identify a possible deficiency of vitamin A.

The questionnaire will help determine a possible biotin (vitamin B7, also known as vitamin H) deficiency based on characteristic symptoms. Please indicate if you have the following symptoms.