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Toxicity Self Test

By NMD.

Rate each of the following symptoms on a scale from 0 to 5 (5 being the most severe) based upon your health profile for the past 30 days.

__ Diarrhea
__ Constipation
__ Belching, passing gas
__ Bloated feeling
__ Heartburn
__ Total

__ Itchy ears
__ Earaches / infection
__ Ringing in ears
__ Hearing loss
__ Total

__ Mood swings
__ Anxiety, fear nervousness
__ Anger, irritability
__ Depression
__ Total

__ Fatigue, sluggishness
__ Apathy, lethargy
__ Hyperactivity
__ Restlessness
__ Total

__ Watery, itchy eyes
__ Swollen, reddened, or sticky eyelids
__ Dark circles under eyes
__ Blurred or tunnel vision
__ Total

__ Headaches
__ Faintness
__ Dizziness
__ Insomnia
__ Total

__ Skipped heartbeats
__ Rapid heartbeats
__ Chest pain
__ Total

__ Frequent illness
__ Frequency or urgent need to urinate
__ Total

__ Pain or aches in joints
__ Stiffness, limited movement
__ Pain, aches in muscles
__ Weakness in muscles
__ Total

__ Chest Congestion
__ Asthma, bronchitis
__ Shortness of breath
__ Difficulty breathing
__ Total

__ Poor memory
__ Poor concentration
__ Difficulty making decisions
__ Stuttering, stammering
__ Learning disabilities
__ Total

__ Stuffy nose
__ Sinus problems
__ Sneezing attacks
__ Excessive mucus
__ Total

__ Chronic coughing
__ Gagging, frequent need to clear throat
__ Sore throat, hoarseness
__ Swollen, discolored tongue, gums, or lips
__ Canker sores
__ Total

__ Acne
__ Hives, rashes, dry skin
__ Flushing or hot flashes
__ Excessive sweating
__ Total

__ Binge eating/drinking
__ Craving certain foods
__ Excessive weight
__ Compulsive eating
__ Water retention
__ Underweight
__ Total

__ Grand Total

A Grand Total score of 25 or higher, or a section total of 10 or higher, indicates increased toxicity. If your score concerns you, then please give me a call for a 15 minute consultation without cost.




Wendy Wells

Author Wendy Wells is a licensed naturopathic physician in the state of Arizona.




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Updated: Jan 8 2015