Holistic Health

Energy Production

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 / 39

weak appetite

2 / 39

wakes in the night from hunger

3 / 39

very hard to lose weight

4 / 39

very hard to gain weight

5 / 39

trouble concentrating

6 / 39

tends to have delicate joints or cartilage

7 / 39

tends to gain weight in hips and thighs

8 / 39

tends to gain weight in belly

9 / 39

tendency towards depression

10 / 39

tendency towards anxiety

11 / 39

tendency to get rashes

12 / 39

tendency to feel drowsy and lethargic

13 / 39

overly strong appetite

14 / 39

slow healing of cuts or wounds

15 / 39

obsessive/ circular thinking

16 / 39

never feel full or satistfied

17 / 39

moist/ oily skin

18 / 39

mentally slow, sluggish or spacy after eating

19 / 39

irregular heart beat

20 / 39

inability to think quickly or clearly after eating

21 / 39

hyper, jittery, nervous, or shaky after eating

22 / 39

hungry soon after eating

23 / 39

gets weak or shaky between meals

24 / 39

frequent sugar cravings

25 / 39

frequent mood swings

26 / 39

feel the need to snack between meals

27 / 39

feel physically full but still hungry after eating

28 / 39

feel nervous energy but tired underneath

29 / 39

feel like something was missing after eating

30 / 39

feel full too quickly

31 / 39

feel fearful after eating

32 / 39

feel exhausted, sleepy, lethargic after eating

33 / 39

feel anxious after eating

34 / 39

feel angry and irritable easily

35 / 39

energy highs and lows frequently during the day

36 / 39

dry skin

37 / 39

dizziness or lightheadness

38 / 39

depression or sadness after eating

39 / 39

apathy or emotional numbness after eating

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