Please place a checkmark by the statements that apply to you:

(NOTE: This questionnaire is not a substitute for formal diagnosis by a medical professional)

I feel more fatigued or exhausted than expected or normal.

My sleep is disturbed, or I am sleeping more than usual yet often wake up feeling unrefreshed.

I have gained weight unexpectedly in my abdomen (or back of neck, and in the face and cheeks).

My digestion is weak, with discomfort, burping, heartburn, or an abnormally long sense of fullness.

My bowel movements are loose and frequent, or I have constipation.

I have multiple food intolerances, sensitivities, or allergies.

I experienced significant or chronic trauma or abuse as an adult of child.

My current employment is highly stressful.

My home or relationship situation is stressful or overwhelming.

I am exposed to significant noise that is stressful.

I am exposed to odors, noxious fumes, or toxins on a regular basis.

I have or suspect a chronic infection (EBV, candida, Lyme)

I have an autoimmune disease

I often feel depressed with fatigue or lethargy.

I often feel depressed, but with agitation.

I bruise easily.

I have slower wound healing.

I often feel dizzy, especially after bending over or standing up.

My blood pressure is consistently low.

My blood pressure is consistently high

I crave salty foods (chips, pickles, salted nuts, etc.)

If I do not eat frequently, I get blood sugar crashes (hypoglycemia symptoms).

I have strong cravings for sweets after stressors.

I experience exhaustion after stressors or moderate exercise.

My libido is consistently low without a clear explanation.

Females: I have significant pre-menstrual symptoms (PMS or PMDD).

Females: My menstrual cycles are irregular, longer, heavier, or more frequent than expected.