Version 1 (for MEN):
Page 1
Personal Background
Habits And Activities
Symptoms General
Symptoms Aging
Symptoms Food General
Symptoms Food Intake
Page 1(a)
Tropical Travel
Page 1(b)
Digestive Illness Travelling
Page 1(c)
Parasites
Page 1(d)
Tobacco Use
Page 1(e)
Fatigue
Page 1(f)
Weight-Loss Diets
Page 2
Symptoms Food Preferences
Symptoms Food Beverages
Symptoms Environmental
Symptoms Muscular
Symptoms Skeletal
Page 2(a)
Vegan Diet
Page 2(b)
Alcohol
Page 2(c)
Muscular Symptoms
Page 2(d)
Neck Problems
Page 2(e)
Twitching And Cramping
Page 3
Symptoms Nervous
Symptoms Liver Gallbladder
Symptoms Gast-Int General
Symptoms Gast-Int Conditions
Symptoms Bowel Movements
Symptoms Mouth
Page 3(a)
Unusual Skin Sensations
Page 3(b)
Gallbladder Symptoms
Page 3(c)
Abdominal Pain
Page 4
Symptoms Eyes General
Symptoms Ears General
Symptoms Nose
Symptoms Allergy
Symptoms Mind General
Page 4(a)
Symptoms Eyes Specific
Page 4(b)
Symptoms Ears Specific
Page 5
Symptoms Mind Emotional
Symptoms Glandular
Symptoms Metabolic
Symptoms Urinary
Symptoms Reproductive
Page 5(a)
Depression
Page 5(b)
Diabetes
Page 5(c)
Symptoms Lymph Nodes
Page 5(d)
Symptoms Edema
Page 5(e)
Headaches
Page 5(f)
Weight Problems
Page 5(g)
Symptoms STDs
Page 6
Symptoms Respiratory
Symptoms Sleep
Symptoms Cardiovascular
Symptoms Immune System
Symptoms Skin General
Symptoms Skin Conditions
Page 6(a)
Chest Discomfort
Page 6(b)
Sleep Problems
Page 6(c)
Heart Problems
Page 6(d)
Anemia
Page 6(e)
Symptoms Cancers
Additional Cancer Questions
Page 6(f)
Symptoms Nipples
Page 7
Symptoms Hair
Symptoms Nails
Metabolic Typing
Ayurvedic Typing
Supplements And Medications
Medical Procedures
Common Lab Values
Page 7(a)
Nutritional Supplements
Page 7(b)
Antacid Use
Page 7(c)
Prescription Antibiotic Use
Page 7(d)
Psychotropic Drug Use
Page 7(e)
Hormone Use
Page 7(f)
Laxative Use
Page 7(g)
Pain Medication
Page 7(h)
Anti-inflammatory Use
Page 7(i)
Recreational Drugs
Page 7(j)
Miscellaneous Medications
Page 7(k)
Past Surgeries
Page 7(l)
Lab Values Cells
Lab Values Chemistries
Lab Values Hormones
Lab Values Nutrients
Lab Values Scans
Page 7(m)
Natural Progesterone Use
Page 8
Family History
Childhood
Page 8(a)
Family History
Page 9
Contact Details
Height, Weight
Further Information, Comments
|
Version 2 (for WOMEN):
Page 1
Personal Background
Habits And Activities
Symptoms General
Symptoms Aging
Symptoms Food General
Symptoms Food Intake
Page 1(a)
Tropical Travel
Page 1(b)
Digestive Illness Travelling
Page 1(c)
Parasites
Page 1(d)
Tobacco Use
Page 1(e)
Fatigue
Page 1(f)
Weight-Loss Diets
Page 2
Symptoms Food Preferences
Symptoms Food Beverages
Symptoms Environmental
Symptoms Muscular
Symptoms Skeletal
Page 2(a)
Vegan Diet
Page 2(b)
Alcohol
Page 2(c)
Muscular Symptoms
Page 2(d)
Neck Problems
Page 2(e)
Twitching And Cramping
Page 3
Symptoms Nervous
Symptoms Liver Gallbladder
Symptoms Gast-Int General
Symptoms Gast-Int Conditions
Symptoms Bowel Movements
Symptoms Mouth
Page 3(a)
Unusual Skin Sensations
Page 3(b)
Gallbladder Symptoms
Page 3(c)
Abdominal Pain
Page 4
Symptoms Eyes General
Symptoms Ears General
Symptoms Nose
Symptoms Allergy
Symptoms Mind General
Page 4(a)
Symptoms Eyes Specific
Page 4(b)
Symptoms Ears Specific
Page 5
Symptoms Mind Emotional
Symptoms Glandular
Symptoms Metabolic
Symptoms Urinary
Symptoms Female
Page 5(a)
Depression
Page 5(b)
Diabetes
Page 5(c)
Symptoms Lymph Nodes
Page 5(d)
Symptoms Edema
Page 5(e)
Headaches
Page 5(f)
Weight Problems
Page 6
Symptoms Reproductive
Symptoms Respiratory
Symptoms Sleep
Symptoms Cardiovascular
Symptoms Immune System
Page 6(a)
Pregnancy Experience
Page 6(b)
Past Pregnancies
Page 6(c)
Current Pregnancy
Page 6(d)
Unusual Vaginal Discharge
Page 6(e)
Pre-Menopause
Page 6(f)
Post-Menopause
Page 6(g)
Symptoms STDs
Page 6(h)
Chest Discomfort
Page 6(i)
Sleep Problems
Page 6(j)
Heart Problems
Page 6(k)
Anemia
Page 6(l)
Symptoms Cancers
Additional Cancer Questions
Page 7
Symptoms Skin General
Symptoms Skin Conditions
Symptoms Hair
Symptoms Nails
Metabolic Typing
Page 7(a)
Symptoms Nipples
Page 8
Ayurvedic Typing
Supplements And Medications
Medical Procedures
Common Lab Values
Family History
Childhood
Page 8(a)
Nutritional Supplements
Page 8(b)
Antacid Use
Page 8(c)
Prescription Antibiotic Use
Page 8(d)
Psychotropic Drug Use
Page 8(e)
Hormone Use
Page 8(f)
Laxative Use
Page 8(g)
Pain Medication
Page 8(h)
Anti-inflammatory Use
Page 8(i)
Recreational Drugs
Page 8(j)
Miscellaneous Medications
Page 8(k)
Past Surgeries
Page 8(l)
Lab Values Cells
Lab Values Chemistries
Lab Values Hormones
Lab Values Nutrients
Lab Values Scans
Page 8(m)
Family History
Page 8(n)
Natural Progesterone Use
Page 9
Contact Details
Height, Weight
Further Information, Comments
|
