Digestive Dysfunction Quiz

This questionnaire is designed to help you determine if you may have symptoms of a digestive dysfunction. Give each question a value ranging from 0-5 with “0″ representing no symptoms at all and “5″ indicating severe symptoms.

Do you experience SEVERAL LOWER BOWEL GAS, HOURS AFTER EATING

Do you experience BURNING in your STOMACH, that is RELIEVE after EATING

Do you have COATED TONGUE

Do you PASS LARGE AMOUNTS FOUL SMELLING GAS

Do you experience INDIGESTION 1/2 TO 1 HOUR AFTER EATING

Do you have MUCUS COLITIS OR “IRRITABLE BOWEL”

Do you have GAS SHORTLY AFTER EATING
Do you experience STOMACH “BLOATING” AFTER EATING

Do you have aside reflex

Do you have heartburn
TOTAL:

Legend:

0 – 8 = No/ Very slight symptoms of Digestion dysfunction
9 – 16 = Mild symptoms of Digestion dysfunction
17 – 25 = Moderate symptoms of Digestion dysfunction
26 and above = Severe symptoms of Digestion 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