This questionnaire is designed to help you determine if you may have a symptoms of Liver/Gallbladder dysfunction. Give each question a value ranging from 0-5 with “0″ representing no symptoms at all and “5″ severe symptoms.
Do you experience DIZZINESS
Do you have DRY SKIN
Do you have BURNING FEET
Do you have BLURRED VISION
Do you have ITCHING SKIN AND FEET
Do you Experience EXCESSIVE HAIR FALLING
Do you have FREQUENT SKIN RASHES
Do you have BITTER OR METALLIC TASTE IN MOUTH IN THE MORNINGS
Do you experience PAINFUL and/or DIFFICULT BOWELL MOVEMENTS
Do you experience FEELINGS OF WORRY, DREAD, INSECURITY
Do you experience FEELING QUEASY
Do GREASY FOODS UPSET you
Are your STOOLS LIGHT COLORED
Is SKIN ON your Feat SOLES Peeling
Do you have PAIN BETWEEN SHOULDER BLADES
Do you Use LAXATIVES
Do your STOOLS ALTERNATE FROM SOFT TO WATERY
Do you have HISTORY of GALLBLADDER ATTACKS OR STONES
Do you experience SNEEZING ATTACKS
Do you have Nightmares (TYPE BAD DREAMS)
Do you have BAD BREATH (HALITOSIS)
Are you SENSITIVE TO HOT WEATHER
Do you have BURNING OR ITCHING ANUS
Do you CRAVE SWEETS
TOTAL:
0- 20 = No/ Very slight symptoms of Liver/Gallbladder dysfunction 21- 40 = Mild symptoms of Liver/Gallbladder dysfunction 41 – 60 = Moderate symptoms of Liver/Gallbladder dysfunction 61 and above Sever symptoms of Liver/Gallbladder 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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