This questionnaire is designed to help you determine if you may have symptoms of Cardiovascular disorder. Give each question a value ranging from 0-5 with “0″ representing on symptoms at all and “5″ severe symptoms.
Do your HANDS AND FEET GO TO SLEEP EASILY
Do you SIGH FREQUENTLY, or experience AIR HUNGER
Do you “BREATH HEAVILY”
Do you experience DISCOMFORT AT HIGH ALTITUDES
Do you OPEN WINDOW IN CLOSED ROOM
Are you SUSCEPTIBLE TO COLDS AND FEVERS
Are you a AFTERNOON “YAWNER”
Do you GET”DROWSY’OFTEN
DO you have SWOLLEN ANKLES, WORSE AT NIGHT
Do you experience MUSCLE CRAMPS, WORSE DURING EXERCISE; “CHARLEY-HORSES”
Do you experience SHORTNESS OF BREATH ON EXERTION
Do you experience DULL PAIN IN CHEST OR RADIATING INTO LEFT ARM, WORSE ON EXERTION
Do you BRUISE EASILY
Do you have TENDENCY TO ANEMIA
Do you have FREQUENT “NOSE BLEEDS”
Do you experience “RINGING IN EARS” OR NOISES IN HEAD
Do you experience FEELING OF “TIGHTNESS” IN CHEST, that GETS WORSE ON EXERSION
TOTAL:
0- 15 = No/ Very slight symptoms of Cardiovascular dysfunction 16- 25 = Mild symptoms of Cardiovascular dysfunction 25 – 35 = Moderate symptoms of Cardiovascular dysfunction 35 and above Sever symptoms of Cardiovascular dysfunction
If you are concern about your symptoms and are ready to address them personalize, nutritional evaluation and programs customized to your health needs are available. To schedule your appointment, contact our office at (214) 783-8721 or e-mail: info@womananew.com
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