Holistic Health

Immune

Rate any condition that applies to you using the following scale:

0 = Not Present  1 = Weak  2 = Mild  3 = Moderate  4 = Strong  5 = Severe

0%

1 / 42

joints are easily injured

2 / 42

joint swelling

3 / 42

joint stiffness

4 / 42

joint pain

5 / 42

issues with blood clotting

6 / 42

headaches/ migraines

7 / 42

hay fever - seasonal allergies

8 / 42

gum inflammation/ bleeding

9 / 42

gets coughs or cold easily

10 / 42

frequently swollen glands

11 / 42

frequent urinary tract infections

12 / 42

frequent upset stomach

13 / 42

frequent sore throats

14 / 42

frequent ear infections

15 / 42

feeling of grit or dirt in the eye

 

16 / 42

fatigue

 

17 / 42

environmentally sensitive, reactive

18 / 42

dry skin

19 / 42

digestive issues

20 / 42

coughs or colds usually last for weeks

21 / 42

aversion to particular foods

22 / 42

trouble swallowing

23 / 42

trouble concentrating

24 / 42

tooth decay

25 / 42

swollen lymph nodes in armpit or neck

26 / 42

swelling in hands or feet

27 / 42

smells or fragrances cause headaches

28 / 42

slow healing of cuts or wounds

29 / 42

skin on fingers, toes, ears, nose turns white/ blue when exposed to cold

30 / 42

skin less responsive to external stimuli

31 / 42

skin extremely sensitive to sun

32 / 42

sinus problems

33 / 42

sick often

34 / 42

sensitivities to foods

35 / 42

ringing in ears

36 / 42

red, sensitive skin

37 / 42

receding gums

38 / 42

rashes/ hives frequently

39 / 42

poor circulation

40 / 42

patchy hair loss on scalp, face, or arms

41 / 42

noise sensitivity

42 / 42

losing strands or clumps of scalp hair

  • Please provide the same name and email you will use (or have used) for other assessments.
  • This allows me to consolidate, evaluate, and send recommendations accordingly.
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