Self Test Questionnaires  
 

Test yourself and be aware

These surveys are useful to focus attention on presenting problems, to bring out potential causative factors and to develop the foundation for a healing approach that can be effective. The surveys presented here are the questionnaires to be filled out by the client with the help of the Nutritional Consultant. The first such survey, 1, 3, 7 and a 3-day diet diary/lifestyle log, is not included here, but is a primary source of information. All self surveys provide subjective data and are best used in conjunction with telephone consultation, observations and a personalized selection of blood, hair, saliva and urine analysis. A brief description of each self survey follows:

1.         General Health history, symptom and nutritional concerns. Useful for all clients 

2.         Eating Disorder and Codependency Checklists. Useful for all clients who show symptoms of eating disorders or concern about the eating disorder of theirs

3.         Detoxification Survey. Useful for clients with various sensitivities and toxicity symptoms

4.         Liver Detoxification Capacity Scale. Useful for all clients

5.         Pulse Testing for Allergic Food Response Virtually any condition may involve allergies. Use with clients who are willing to invest time and energy in this procedure and who are highly motivated to heal.

6.         Thyroid Functioning: Taking your Basal Body Temperature. Useful for all clients

7.         Metabolic Analyzer. Useful for all clients, especially those with weight problems

8.         Diabetes Risk Self Survey. Useful for all clients

9.         Hypoglycemia Questionnaire. Useful for all clients

10.       Candida Score Sheet. Useful for all clients

11.       Osteoporosis Risk Evaluation. Useful for all clients

12.       Menstrual Symptom Questionnaire. Useful for clients with menstrual difficulties

13.       Adrenal Postural Blood pressure Test. Useful for clients suffering from fatigue and/or allergies

14.        Immune System Building Blocks Test. Useful for all clients

15.        Postural Hypotension and Functional Hypoadrenia. Useful for all client

16.        Eating for Energy. Useful for all clients

17.        Iodine Patch Test.  Iodine sufficiency, thyroid hormone building block, energy, obesity

18.        Fiber Talley Worksheet.  Calculate your daily fiber intake and find higher fiber foods list

19.        Multi-Vitamin Comparison Worksheet. Check your ingredients for balance and completeness

 

Not sure which test is right for you? Click here to contact Karl or Call Karl directly at 360-770-8486

 
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