Symptoms Survey Test

symptoms_survey_test

“Your body is a temple, but only if you treat it as one.”
 Astrid Alauda

The origin of diseases is being understood now due to basic homeostatic balance phenomenon in the body. Human beings constantly struggle against the changing environmental conditions to maintain optimum health. The human body depends on the continuous holistic interaction between internal and external factors. When this interaction is in a state of equilibrium, man enjoys health and when it fails, either due to internal deficiency or hostile environmental factors, the balance is disturbed and leads to disharmony and disease.


If you have some symptoms and can’t figure out what it means, please fill out symptoms survey form to learn about your condition. You will be amazed to learn about some surprising symptoms of your condition. The Symptom Survey Test has 224 commonly found symptoms arranged in 16 groups. For example, group 4 is composed of symptoms related to Adrenal Fatigue. We’ll calculate the score for each category and will send you the list of results for three categories that have the most score. This way you will be able to figure out what to do with your multiple sometimes conflicting symptoms.


How it Works

Step 1

Fill out Symptoms Survey Test

Please, answer every question that applies to you as honestly as you can to find out what condition you have.


0 N/A (Not Applicable)
1 Occasionally, Effect is Not Severe
2 Occasionally, Effect is Severe
3 Frequently, Effect is Not Severe
4 Frequently, Effect is Severe


Category I
0
1
2
3
4
Loss of taste for meat
Feeling that bowels do not empty completely
Lower abdominal pain reliefs by passing stool or gas
Alternating constipation and diarrhea
Diarrhea
Constipation
Roughage and fiber cause constipation, undigested foods found in stools
Hard dry or small stool
Stool undigested, foul smelling mucous-like, greasy or poorly formed
Coated tongue
Pass large amount of foul smelling gas
Stomach pain, burning, aching and fullness 1-4 hours after eating
Burning stomach pain relief from antacids, food, milk and carbon drinks
Heartburn due to spicy foods, chocolate, citrus, peppers, alcohol and caffeine
Heartburn when lying down or bending forward
Feeling hungry an hour or two after eating and increased thirst
Stomach bloating after eating
Pain, tenderness, soreness on left side under rib cage
Nausea and /or vomiting
Difficulty losing weight
Digestive problems subside with rest and relaxation
Frequent urination
Do you use laxatives frequently
Do you frequently use antacids

Category II
0
1
2
3
4
Dry Skin
Burning feet
Blurred vision
Itching skin and feet
Excessive falling hair
Frequent skin rashes
Bitter, metallic taste in mouth in mornings
Bowel movements painful or difficult
Lower bowel gas and or bloating several hours after eating
Feeling nauseous; headache over eyes
Greasy foods upset
Bad breath
Stools light-colored
Skin peels on foot soles
Pain between shoulder blades
Stools alternate from soft to watery
Burning or itching anus
Yellowish cast to eyes
Use laxatives
History of gallbladder attacks or stones
Have you had your gallbladder removed?
Milk products cause distress
Sensitive to hot weather
Crave sweet

Category III
0
1
2
3
4
Crave sweets during the day
Burning feet
Excessive appetite
Hungry between meals
Irritable before meals
Get "shaky" if hungry
Fatigue, eating relieves
Lightheaded if meals delayed
Heart palpitates if meals missed or delayed
Afternoon headaches
Overeating sweets upsets
Awaken after few hours sleep - hard to get back to sleep

Category IV
0
1
2
3
4
Weakness, dizziness
Slow starter in the morning
Chronic fatigue and afternoon fatigue
Low blood pressure
Nails weak, ridged
Tendency to hives
Arthritic tendencies
Perspiration increase
Bowel disorders
Poor circulation
Swollen ankles
Crave salt
Cannot stay asleep
Dizziness when standing up quickly
Afternoon headaches
Brown spots or bronzing of skin
Allergies - tendency to asthma
Weakness after colds, influenza
Exhaustion - muscular and nervous
Respiratory disorders

Category V
0
1
2
3
4
Dizziness
Increased blood pressure
Headaches
Hair growth on face or body (female)
Hot flashes
Cannot fall asleep
Perspire easily
Weight gain when under stress
Wake up tired even after 6 or more hours of sleep
Sugar in urine (not diabetes)
Masculine tendencies (female)

Category VI
0
1
2
3
4
Tired, sluggish
Feel cold – hands, feel, all over
Require excessive amounts of sleep to function properly
Sleepy during day
Fatigue easily
Increase in weight gain even with low-calorie diet
Gain weight easily
Constipation
Depression, lack of motivation
Morning headaches that wear off as the day progresses
Outer third of eyebrow thins
Thinning of hair on scalp, face or genitals or excessive falling hair
Dryness of skin and/or scalp
Mental sluggishness
Decrease in appetite
Ringing in ears
Slow pulse, below 65
Frequency of urination
Impaired hearing

Category VII
0
1
2
3
4
Insomnia
Nervousness
Night sweats
Can't gain weight
Thin, moist skin
Intolerance to heat
Inward trembling
Highly emotional
Heart palpitates
Increased pulse even at rest
Eyelids and face twitch
Irritable and restless
Can't work under pressure

Category VIII
0
1
2
3
4
Diminished sex drive
Menstrual disorders or lack of menstruation
Increased ability to eat sugars without symptoms
Abnormal thirst
Bloating of abdomen
Tendency to ulcers, colitis
Weight gain around hips or waist

Category IX
0
1
2
3
4
Increased sex drive
Decreased sugar tolerance
“Splitting” type headaches
Failing memory
Low blood pressure

Category X
0
1
2
3
4
Hands and feet go to sleep easily, numbness
Sigh frequently, "air hunger"
Aware of "breathing heavily"
High altitude discomfort
Opens windows in closed room
Susceptible to colds and fevers
Afternoon "yawner"
Get "drowsy" often
Swollen ankles worse at night
Muscle cramps, worse during exercise; get "charley horses"
Shortness of breath on exertion
Dull pain in chest or radiating into left arm, worse on exertion
Bruise easily, "black and blue" spots
Tendency to anemia
Nose bleeds frequent
Noises in head, or "ringing in ears"
Tension under the breastbone, or feeling of "tightness" worse on exertion

Category XI
0
1
2
3
4
Irritability, anxiety and nervousness
Never seems to get well
Forgetfulness, inability to concentrate; confusion
Depression; feelings of dread
Noise sensitivity
Tendency to cry without reason
Indigestion
Anorexia and poor appetite
Craving for sweets
Muscular soreness
Weakness and fatigue
Skin sensitive to touch
Headache
Insomnia
Frequent stuffy nose; sinus infections

Category XII
0
1
2
3
4
Burning sensations or pain during urination
Frequent urination
Cloudy and foul-smelling urine
Pain directly above the pubic bone
Back or pelvic pain
Occasionally blood may be visible in the urine
Leak urine during periods of activity: exercise, sneezing, coughing, sex
Swelling of the legs, ankles, feet, hands and puffiness around the eyes (fluid retention)
High blood pressure
Fatigue and weakness
Loss of appetite, nausea and vomiting and a metallic taste in the mouth
Itching, easy bruising, skin rashes and pale skin
Shortness of breath from fluid accumulation in the lungs

Category XIII
0
1
2
3
4
Tender, warm, swollen joints especially in the hands or feet
Morning stiffness that may last for hours
The pain eases the more people use the joint
Joint aching and soreness, especially with movement
Pain after overuse or after long periods of inactivity
Stiffness after periods of rest
The same joint affected on both sides of the body
Pain that can last through the night
Firm bumps of tissue under the skin on your arms
Fever because their immune system is in overdrive
Fatigue and weight loss
Trouble sleeping
Weakness and loss of mobility
Depression
Cramps, muscle aches, and bone pain
Height loss
Spinal fractures
Low overall fitness
Decreased grip strength
Receding gums

Category XIV(for women only)
0
1
2
3
4
Alternating menstrual cycle lengths
Extended menstrual cycle, greater than 32 days
Shortened menses, less than every 24 days
Pain and cramping during periods
Light blood flow
Heavy blood flow
Breast pain and swelling during menses
Pelvic pain during menses
Irritable and depressed during menses
Vaginal discharge
Acne break outs

Category XV(for women only)
0
1
2
3
4
Do you ever have uterine bleeding since menopause
Hot Flashes
Mental Fogginess
Disinterest in Sex
Mood Swings
Depression
Painful intercourse
Shrinking breast
Facial hair growth
Acne
Increased vaginal pain, dryness or itching

Category XVI (for men only)
0
1
2
3
4
Urination difficulty or dribbling
Prostate Problems
Urination frequent
Pain inside of legs or heels
Feeling of incomplete bowel evacuation
Leg nervousness at night
Decrease in libido
Decrease in fullness of erections
Spells of mental fatigue
Inability to concentrate
Episodes of depression
Muscle soreness
Decrease in physical stamina
Unexplained weight gain
Increase in fat distribution around chest and hips
Sweating attacks
More emotional than in the past


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