So that we may reply back to you with your results, please enter
your contact information:
Group One - Gastrointestinal
Section
A
Distress
from fats or greasy foods, such as nausea, dizziness, headaches,
etc.
Distress
from onions, cabbage, radishes, cucumbers, (cause bloating,
gas, etc,)
Stool
Appears yellow, clay -colored; foul odored; shows undigested
foods.
Skin
is grayish, pasty, oily on nose and forehead.
Have
had jaundice,hepatitis.
Bad
Breath, bad taste in mouth, body odor (including feet).
Unusual
redness of palms of hands.
Unaccountable
burning of soles of feet.
Varicose
veins, hemorrhoids, phlebitis,veins showing on chest or stomach
area.
Able
to go "all day" without urinating, diminished urination.
Long
history of constipation.
Flabby
flesh underarms and stomach.
Section
B
Indigestion
occurs 2 to 3 hours after meals, fullness, bloating, sourness,
etc.
Heavy,
full loggy feeling after eating heavy meat meal.
Loss
of former taste or craving for meat.
Excessive
lower bowel gas.
Long
history of being anemic.
History
of constipation which alternates with diarrhea.
Section
C
Stomach
pain occurs 5 or 6 hours after eating, usually at night, relieved
by eating or drinking milk or cream.
Above
symptoms flare up in Spring or Fall of year.
Have
been told you have stomach ulcers.
Above
symptoms aggravated by worry and tension; relieved by vacationing.
Section
D
Diarrhea
occurs frequently.
Diarrhea
occurs without apparent cause, resistant to ordinary treatment.
Roughage
in diet aggravates diarrhea.
Mucous
shreds appear in stool.
Have
more than three bowel movements per day.
Have
been told you have ulcerative or mucous colitis.
Section
E
Indigestion
occurs immediately after eating.
Indigestion
is acute, comes on suddenly.
Indigestion
is relieved by soft drinks.
Have
difficulty bleching, stomach cramps, colicky.
Above
symptoms aggravated by stress.
Group Two - Functional Nervous
Indications
Section
A
Eyes
are sensitive to bright lights.
Have
tightness in throat
Form
gooseflesh easily, sweat without temperature rise, "cold
sweats".
Voice
rises to high pitch or is lost during stress, such as arguments,
public appreaness.
Easily
shaken up, easily startled, heart pounds hard from unexpected
noise.
Prefer
being alone, uneasy when "center of attraction".
Blood
pressure fluctuates, has been "too high" on occassion.
Section
B
Have
you "always had low or normal blood pressure".
Are
you known as "perfectionist" outstanding student
in school, come from a high-strung family, sets high standards.
Do
you tend to work-off worries, something left undonecauses
you unusual concern.
Do
you avoid complaints, try to ignore discomforts and inconveniences
Have
you had frequent or severe attacks of pneumonia, bronchitis,
flu, or sinusitis.
Have
you had allergies such as skin rash,dermatitis, hay fever,
severe sneezing attacks, asthma or other allergy.
Do
emotional storms cause complete exhaustion, must go and lie
down when under heavy stress.
Do
you have frequent colds, more than twice yearly.
Do
you have an unusual craving for salt.
Do
you perspire excessively.
Does
your skin take on a brownish color, brown spots on skin (often
called liver spots).
Do
you have painful finger joints, told that you have rheumatoid
arthritis
Section
C
Have
you had persistant high blood pressure to the best of your
knowledge.
Are
you stronger than average physically
Do
you have strong feelings, tend to "blow up", dislike
being crossed
Group Three - Metabolic Indicators
Section
A
Are
your muscles stiff in morning, feel need to limber up, feel
"creaky" after sitting for period of time
Feel
dizzy or nauseated in morning
Motion
sickness when traveling, dizzy when changing up and down positions
Does
your heart occasionally seem to "miss beats"
Are
following symptoms worse at night, coughing, hoarseness, muscle
cramps
Do
you have sleeplesness, restlessness, failing memory, forgetfulness
Do
you feel better in the afternoon, worse in morning hours
Section
B
Do
you "go to pieces" easily, dislike working under
pressure, cry easily
Gain
weight, fail to loose on diets
Long
history of chronic constipation
Skin
is thick, wrinkly, puffy
Feel
better in mornings, worse in afternoon
Difficulty
concentrating, easily distracted
On
outer third of eyebrows is hair unusually thin or absent
Section
C
Does
your heart beat above 90 beats per minute when at complete
rest
Do
hands shake
Do
you have a strong drive followed by exhaustion
Do
you have strong, healthy teeth
Do
you have a good appetite, but fail to gain weight in spite
of increasing food intake
Do
you have fine features, thin skin, thin hair
Is
your behavior erratic
Do
you have poor balance
Group Four - Hormone and Enzyme
Indicators
Section
A
Irregular
or discomforting periods
Menopause
symptoms (hot flashes, etc.)
Have
you had a hysterectomy
Loss
or diminished sex drive
Before
periods feel nervous, depressed
Unable
to have children because of sterility
Difficulty
urinating, starting, burning, getting up nights
Associate
above with back or leg pains, constipation
Have
been told you have prostate trouble
Have
had prostate surgery
Loss
or diminished sex drive
Section
B
Muscle
weakness, weak grip, weak legs, objects feel unusually heavy
Muscles
wasting away in some particular area of the body
Sharp
pains in chest after exercising
Numbness
or loss of sensation
Night
sweats, wake up frightened
Allow
objects to fall from hands
Blurred
vision, bloodshot eyes, feeling of sand in eyes
Redness,
irritation of nostrils, corners of mouth become cracked, irritated
Group Five - Fluid Balance
Indicators
Section
A
Bruise
easily "black and blue spots"
Feel
drowsy, chronic fatigue
Cold
hands and feet, use extra clothing, and bedding
Short
of breath when climbing stairs
Require
extra amounts of sleep
Feel
better when resting, lowered endurance, low exercise tolerance
Section
B
Have
you been treated for heat prostation
Hot
weather is unusually discomforting
Ankles
swell in hot weather
Ankles
swell in afternoon
Prespire
excessively in hot weather
Use
very little salt
Group Six - Epithial Indication
Section
A
Pain
in lower abdomen, area of bladder
Have
had albumin in urine, kidney trouble
Irritated
skin, chapped lips, hands, etc.
Skin
is rough, dry scaly
Discharge
from eyes
Burning
or itching when urinating
Swelling
of glands in neck
Inability
to adjust eyes when entering dark room
Group Seven - Carbohydrate Indications
Section
A
Nervousness,
shaky feeling, headaches are relieved by eating sweets
Irritable
if late for meals
Experience
sudden strong craving for sweets or alcohol
Get
hungry shortly after eating
Often
wake up at night feeling hungry
Section
B
Night
sweets, increased thirst
Chronic
fatigue, lowered resistance
History
of boils, leg sores, lesions take long time to heal
Overweight
Feel
pickup from excersing
At
one time was told had suger in urine (Diabetic)
Member
of family has diabetes
Crave
sweets, but eating sweets makes me feel worse
