Are you frequently tired and fatigued?

Yes

No

Do you experience energy dips throughout the day?

Yes

No

Are you unable to lose weight?

Yes

No

Do you have ongoing joint pain?

Yes

No

Do you have some joint pain?

Yes

No

Do you often have muscle stiffness?

Yes

No

Do you experience frequent headaches?

Yes

No

Do you regularly have mouth sores?

Yes

No

Do you often experience chest pain?

Yes

No

Do you experience frequent swelling?

Yes

No

Do you experience frequent digestive issues?
(bloating, stomach pain after eating, irregular bowel movements)

Yes

No

Do you experience regular fevers?

Yes

No

Do you often have a rash?

Yes

No

Do you struggle with your hormones being imbalanced?
(irregular periods, painful PMS symptoms, bloating, PCOS)

Yes

No

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