Holistic Health
Rate any condition that applies to you using the following scale:
0 = Not Present 1 = Weak 2 = Mild 3 = Moderate 4 = Strong 5 = Severe
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