Screening questionnaire for identifying toxin levels and indications for detoxification.. Take a free online course without registration.

79

Do you have a strong need for coffee, sugar, cigarettes, or other addictions?

No Yes

78

Nausea or vomiting after eating

No Yes

77

Sometimes there is heartburn.

No Yes

76

Do you suffer from constipation or infrequent bowel movements (less than once a day)?

No Yes

75

Diarrhea often occurs.

No Yes

74

Sometimes there is a coating on the tongue.

No Yes

73

Do you notice an unpleasant smell from your mouth or body?

No Yes

72

Increased gas formation

No Yes

71

Pain in the intestine or stomach

No Yes

70

You suffer from shallow and unstable sleep.

No Yes

69

Experiencing difficulties falling asleep

No Yes

68

Waking up during the night

No Yes

67

Do you feel tired and broken in the morning?

No Yes

66

Do you notice changes in the brightness or duration of dreams?

No Yes

65

Sometimes there is itching in the ears.

No Yes

64

Ear pain or ear infections

No Yes

63

Purulent discharge from the ears

No Yes

62

Concern about ringing in the ears or hearing loss in one ear

No Yes

61

Mood swings happen.

No Yes

60

Episodes of irritability or anger occur.

No Yes

59

It often happens to be in a bad mood.

No Yes

58

There are depressive states.

No Yes

57

Do you feel pain in your joints or muscles?

No Yes

56

Experiencing bone pain or fibromyalgia

No Yes

55

Do you notice rigidity or limited mobility?

No Yes

54

Often feel weakness or fatigue.

No Yes

53

Do you feel apathy or inertia?

No Yes

52

Often feel tired or sluggish.

No Yes

51

There can be hyperactivity or excitement.

No Yes

50

You catch a cold or ARVI every year.

No Yes

49

Do you suffer from asthma or bronchitis?

No Yes

48

Do you notice shortness of breath?

No Yes

47

You are experiencing difficulty breathing.

No Yes

46

Eyes often water or itch.

No Yes

45

Eyelids swell, redden, or itch.

No Yes

44

There are dark circles under the eyes.

No Yes

43

There is a deterioration of vision or tunnel vision (excluding myopia or hyperopia).

No Yes

42

Frequent headaches.

No Yes

41

Fainting can occur.

No Yes

40

Sometimes there is dizziness.

No Yes

39

Do you suffer from insomnia?

No Yes

38

Experiencing uneven or irregular heartbeat

No Yes

37

Do you often notice an increased heart rate?

No Yes

36

There can be chest pain.

No Yes

35

There is a chronic cough.

No Yes

34

There may be urges to vomit or frequent urges to cough.

No Yes

33

There can be a sore throat, hoarseness, or loss of voice.

No Yes

32

There is swelling or discoloration of the tongue, gums, lips, or sores in the mouth.

No Yes

31

There is a poor memory.

No Yes

30

There can be confusion or difficulty in perception.

No Yes

29

You are forgetful or have difficulty finding the right words.

No Yes

28

Notice low concentration

No Yes

27

There can be poor coordination.

No Yes

26

There are difficulties with decision-making.

No Yes

25

There can be stuttering or hesitations.

No Yes

24

There can be unclear speech.

No Yes

23

Experiencing difficulties with learning

No Yes

22

There is excess weight that does not decrease with diets and physical exercise.

No Yes

21

There is facial puffiness or body swelling.

No Yes

20

There are preferences for certain products (especially sweet, starchy, or dairy).

No Yes

19

There can be overeating or excessive alcohol consumption.

No Yes

18

There is impulsive eating.

No Yes

17

There is insufficient weight.

No Yes

16

Do you suffer from allergies or hay fever?

No Yes

15

Nasal congestion can occur.

No Yes

14

There are problems with the sinuses.

No Yes

13

Allergic rhinitis can occur.

No Yes

12

There are bouts of sneezing.

No Yes

11

There is excess mucus.

No Yes

10

There is seasonal rhinitis.

No Yes

9

There is sensitivity to odors (for example, to acetone, gasoline, or household chemicals).

No Yes

8

Itchy skin or the appearance of pimples and acne.

No Yes

7

There can be hives, rash, or dry skin.

No Yes

6

There is hair loss.

No Yes

5

There can be strong flushing or hot flashes.

No Yes

4

There is excessive sweating.

No Yes

3

Do you use potentially toxic chemicals at work or at home?

No Yes

2

There can be unusual reactions to medications, personal care products, or dietary supplements.

No Yes

1

There are discharges from the genitals.

No Yes