1. Do you catch cold
easily?
2. Do you have a
predisposition to infections of the
throat and lungs?
3. Do you have frequent
infections of the bladder or urinary
tract?
4. Do you suffer from
sinusitis?
5. Do you often have
abscesses in the ears?
6. Do you see poorly in
dim light?
7. Do you have rough dry
scaly skin?
8. Do you eyelids become
swollen and pus laden?
9. Female: Difficulty
getting pregnant?
10. Female: Have you had
a spontaneous abortion?
11. Do you have poor
bone development?
12. Have you had rickets
(bowlegs knock knees bone enlargement)?
13. Has your doctor
diagnosed osteomalacia (softening of
bones)?
14. Has your doctor
diagnosed arthritis?
15. Do you or did you
have an abnormal number of cavities?
16. Female Do you have
menstrual discomfort?
17. Male Have you lost
your sex drive?
18. Do you have muscular
type problems such as swelling or
wasting away?
19. Do you suffer from
angina pains?
20. Have you had a heart
attack?
21. Does your blood clot
slowly if you should cut yourself?
22. Do you have little
pink spots on your skin?
23. Do you have ruptured
blood vessels in either eye?
24. Do you have inflamed
gums?
25. Do you have
"fleeting" joint pains?
26. Is your hair falling
out abnormally?
27. Do your gums bleed
when you brush your teeth?
28. Do you have
cartilage problems?
29. Do you have a lot of
colds?
30. Do you smoke more
than 3 cigarettes per day?
31. Do you have heart
palpitations?
32. Do you have an
enlarged heart?
33. Do you have a
diastolic blood pressure over 90?
34. Do you hurt all over
but can't pinpoint area?
35. Do you consider
yourself to be "weak-muscled"?
36. Do you suffer from
forgetfulness?
37. Do you have vague
fears about many things?
38. Do you feel that
others are againts you?
39. Are you abnormally
tired?
40. Are you often
confused about life and your purpose in
it?
41. Do you feel
depressed?
42. Do you have crack or
sores in the corner of your mouth?
43. Does your
tongue have a red purple color?
44. Is your tongue very
shiny?
45. Do you often have
sensation of sand in your eyelids?
46. Are your eyes
sensitive to light?
47. Do your eyes get
tired easily?
48. Do your eyes burn
and itch often?
49. Do you have a lot of
red lines in the whites of your eyes?
50. Do you have or have
you had cataracts?
51. Do
you have an abnormal amount of oil in
the skin near the corner ot your nose?
52. Do
you suffer from chronic inflammation of
the baby?
53. Have you lost our a abuse?
54. Do you have frequent indigestion
and/or diarrhea?
55. Do
you have canker sores in the mouthy?
56. Do your hands and/or
feet often feel like they are hot?
57. Have you ever been
diagnosed as a schizophrenic?
58. Do you feel like
your hands an/or feet go numb?
59. Do you often suffer
from dizziness?
60. Do you often suffer
from nausea?
61. Do you feel Confused
often?
62. Do you have. Or have
you had kidney stones?
63. D o you have edema?
(swelling of hands feet ankles)?
64. Have you have
observed a greenish tint to your urine?
65. Is your tongue sore?
66. Have you notice your
hands and/or feet tingle?
67. Do you feel like you
have lost your incentive in life?
68. Do you occasionally
stammer?
69. Do you have a
jerking of limbs?
70. Do you have chronic
headaches?
71. Do you feel
abnormally tired?
72. Do you fell suddenly
dizzy?
73. Do you feel
lightheaded when getting up out of a
lying or sitting position?
74. Does your hear beat
fast upon exertion?
75. Has your doctor
diagnosed you as arthritic?
76. Has your doctor
diagnosed you as hypoglycemic?
77. Do you occasionally
have a burning sensation of the hands
and/or feet?
78. Do your suffer from
allergies?
79. Are you chronically
constipated?
80. Do you have periods
of deep depression?
81. Is your tongue often
sore?
82. Do you have skin
inflammations often?
83. Do you suffer from
insomnia?
84. Do you have a poor
appetite?
85. Are you frequently
nauseate?
86. Do you suffer from
eczema?
87. Have you ever been
diagnosed as having atherosclerosis?
88. Has your doctor told
you that your cholesterol is high?
89. Do you have high
blood pressure?
90. Do you have a
problem losing weight?
91. Have you been
diagnosed as myasthenia gravis or weak
muscle?
92. Have you ever had
macrocytic anemia?
93. Are you chronically
Fatigued?
94. Do you have a
history of cleft palate?
95. Do you have
indigested 3-3 hours after eating?
96. Do you have a heavy
full loggy feeling after eating a heavy
meal?
97. Do you have more
than usual upper and lower intestinal
gas?
98. Do you have periods
of constipation alternating with
diarrhea?
99. Have you lost your
taste or craving for meat?
100. Have you been
treated foe long periods of time for
anemia without making much progress?
101. Do you have a sore
stomach?
102. Do you have often
have leg cramps?
103. Female: Do you have
excessive or lengthy menstruation with
pain?
104. Are you
hyperirritable nervous?
105. Are your teeth
prone to decay?
106. Are your teeth
crowded with poor placement in the
mouth?
107. Do you have
pyorrhea?
108. Do you often feel
both mentally and physically fatigued?
109. Do you often feel
as if your breathing is irregular?
110. Do you have
swelling of the ankles and hangs?
111. Do you suffer from
rapid heart rate on and off?
112. Do you often feel
as if your muscles are just "too weak"?
113. Do you have an
irregular hear beat?
114. Do you have
diabetic tendencies?
115. Do you suffer from
dehydration ( dry tongue shrunken loose
skin)?
116. Do you feel
exhausted?
117. Do you feel as if
your nerves and muscles are irritable?
118. Do you have
periods of irregular heartbeat?
119. Do you suffer from
convulsions or seizures?
120. Do you have nervous
tics or twitches?
121. Do you have dimmed
vision?
122. Are your teeth
sensitive?
123. Do you have loose
teeth?
124. Are you constantly
cold?
125. Do you have
chronically pale skin?
126. Do you have
shortness of breath?
127. Do you have a poor
appetite?
128. Do you have
sensation of spots before your eyes?
129. Do you have
difficulty in breathing?
130. Do you have rapid
heart rate?
131. Are the palms
of your hands very pale?
132. Are you tired most
of the time?
133. Do you get tired
very easily?
134. Do your fingernails
appear very light in color?
135. Are you prone to
athletic type injuries strained knees?
136. Is your muscular
coordination poor?
137. Have you been
diagnosed as myasthenia gravis or
multiple sclerosis?
138. Have you been
diagnosed as diabetic?
139. Do you have
allergies?
140. Do you
have bone deformities?
141. Do you have dry
hair?
142. Do you have brittle
nails?
143. Do you feel your
mental reaction time is slow?
144. Do you have a
goiter or have you had one?
145. Do you have a
stuffy nose?
146. Are your eyes
sensitive to light?
147. Do you have
recurrent sties?
148. Have you been
diagnosed with high cholesterol in the
blood?
149. Do wounds heal very
slowly?
150. Have you lost part
of your sense of smell?
151. Have you lost part
of your sense of taste?
152. Have you been
diagnosed as being diabetic?
153. Do you feel more
tired than normal?
154. Male: Do you suffer
from prostatitis?
155. Do you have acne?
156. Do you accumulate
fluids in the extremities?
157. Do you have
cataracts?
158. Do you think or
know that you have low hormone levels?
159. Do you have low
resistance to disease?
160. Do you feel overall
weakness?
161. Do you have weak
hair and nails?
162. Do you have fungus
infection of the nails?
163. Are your eyes
sensitive to light?
164. Do you have
indigestion?
165. Do you have
excessive belching and intestinal gas?
166. Do you suffer from
the heat?
167. Do you over breathe
(hyperventilate)?
168. Are you nervous
without obvious cause?
169. Do you have
diabetes or tendency there to?
170. Are you on a low
salt diet?
171. Do you suffer from
cancer?
172. Do you or your
children have birth defects?
173. Do you have high
cholesterol in the blood?
174. Do you have
diabetes?
175. Do you have alcohol
intolerance?
176. Do you have stunted
body growth?
177. Do you have an
abdominal "apron" of fat?
178. Do you have
feelings of inadequacy?
179. Do you have
headaches inside the middle of your
head?
180. Do you have eye
problems?
181. Are you fatigued
without obvious cause?
182. Are you very tall
and very thin?
182. Do you have high
blood sugar (diabetes)
184. Do you have
problems mobilizing energy to start a
project?
185. Do you have an
easily changeable temperament?
186. Are you moody and
sentimental?
187.Do you have long
hands and feet?
188. Do your feelings
dominate over logic?
189. Do you gain weight
easily?
190. Do you tend to have
cold hands and feet?
191. Do you prefer warm
to cool climate?
192. Is your hair scanty
dry brittle and lusterless?
193. Are you constipated
(less than 3 times a day?
194 Are your bowel
movements usually less than once daily?
195. If female are your
periods regular profuse and painless?
196. Do you have
diminished libido (sex drive)
197. Does your heartbeat
rapidly on slight exertion?
198. Do you have
irregular heart rhythm?
199. Do you tolerate
heat poorly?
200. Are you nervous?
201. When holding our
hands out with fingers straight do
fingers tremble?
202. Are you muscles
weak?
203. Do you have short
heavy muscle physique?
204. Do you have much
body hair?
205. Do you have high
blood pressure?
206. Do you tend to have
a rapid pulse?
207. Do you have more
than usual neck head and shoulders
distress?
208. Do you have low
blood pressure?
209. Do you suffer from
low blood sugar or hypoglycemia?
210. Do you have rapid
shallow breathing?
211. Have you ever had
convulsions blackouts or coma?
212. Do you have an
inferiority complex?
213. Do you have
allergic tendencies?
214. Do you tend to be
negative?
215. Do you have a big
appetite?
216. Do you have
constant intense thirst?
217. Do you urinate
large amounts more than 2 quarts daily?
218. Does your breath
sometimes smell sweet or like acetone?
219. Do you sometimes
have peculiar unaccountable sensation in
hands or feet (tingling burning sharp
jabs
numbness etc?
220. Is your vision
failing rather rapidly?
221. Does your urine
contain sugar?
222. Do your cuts and
abrasions heal slowly?
223. Are you excessively
fatiques?
224. Does even the
thought of walking across make you
tired?
225. Have you ever
fainted blacked our or had a convulsion?
226. Are you
moody with marked ups or downs elations
or depressions hyperactivity or
laziness?
227. Do you have vague
unrelated complaints which can be
temporarily improved by eating only to
return with vengeance in a short time?
228. Do you have cold
sweats of the hands even when warm or
excited?
229. Do you have more
than the usual number of cavities?
230. Are you easily
fatigued?
231. Do you have
catarrhal or allergic tendencies?
232. Are you subject to
muscular weakness?
233. Do you look older
than you are?
234. Is our heart
irregular?
235. Do you tend to be
nervous?
236. Are you susceptible
to infections?
337. Are you taller than
most people your sex?
338. Is your fifth
finger particularly short?
239. Do you have sparse
hair (especially pubic)?
240. Do you have tapered
fingers?
241. Are you thin
breasted (female) or have small external
genitals (male)?
242. Do you have soft
fingers nails?
243. Do you have voice
quality of opposite sex?
244. Do you have reduced
physical and
245. Are you depressive?
246. Do you perspire
easily?
247. Are you actions
quicker than others?
248. Did your sex
characteristic develop early?
249. Do you have tremor
of hands or head?
250. Do you see double?
251. Do you have slurred
speech?
252. Are you irritable
and impatient?
253. Do you have loss of
stamina while working physically?
254 Do you fall asleep
easily during the day?
255. Are you emotionally
stable? Lose your temper easily?
256. Do you have an
irregular heartbeat?
257. Do you have
breathlessness on slight exertion?
258. Do you have
breathlessness on lying down?
259. Do you have a
nagging cough?
260. Do your ankles
swell later in the day?
261. Do you urinate more
than twice during the night?
262. Does your heartbeat
seem irregular?
263. Do you have a
chronic cough?
264. Have you had
several chest cold in the past year?
265. Do you be comes
short of breath easily?
266. Do you find it
difficult to be satisfied with a deep
breath?
267. Do you smoke?
268. D you eat
breakfast?
269. Do you eat a
substantial breakfast?
270. Do you eat a light
breakfast?
271. Do you drink more
than one cup of coffee per day?
272. Do you eat one more
cups of fiber cereal daily?
273. Do you eat one more
than one cup of raw vegetables daily?
274. Do you consume more
than 2 slice of whole grain bread daily?
275. Do you consume more
than one cup of raw fruit daily?
276. Do you combine
eggs, meat, fish, or cheese with fruit,
fruit juices, desserts, at the same
meal?
277. Do you drink milk
shake made at convenience or quick food
restaurants?
278. Do you eat more
than 2 servings of meat, fish, eggs, or
cheese daily?
279. Do you consume at
least 1 1/2 capfuls of varied seeds and
nuts per day?
280. Do you eat one or
more candy bars per day?
281. Do you eat ice
cream, pie, cookies, cakes or pastries
at least once a day?
282. Do you add sugar to
coffee, tea, etc.
283. Do you consume full
sugar soda-pop on a daily basis?
284. Do you consume a
lot of "junk" food?
285. Do you consume
"sugar free" soda-pop on a daily basis?
286. Do you consume any
carbonated beverage other than sodas on
a daily basis?
287. Do you more than
20% of your calories come from protein
on a daily basis?
