Instructions For
The Symptom Survey Form

Our Personalized Health Assessmentonline questionnaire is an important part of your healthcare provider’s program to support your quest for better health. This online symptom survey is a very sophisticated tool to look deeper into your health problems and assess your nutritional needs.

It is one of the most sophisticated integrative tools your healthcare provider can have that truly takes into account your personal concerns. By looking at each question and how it relates to each of the other questions (as well as other functional groups), the software is able to look below the surface of your personal concerns to find possible root issues. This program can do over 2,400 calculations based on your answers to the questionnaire.

This online Personalized Health Assessment is especially helpful for you as well as your healthcare provider to examine the foundational issues that might otherwise go unnoticed under the traditional, allopathic Western medical model.

The findings of this questionnaire will help you and your healthcare provider examine the impact of today’s lifestyle and diet on your overall health. As an example – at the turn of the last century, the average American consumed less than 10 pounds of sugar per year. Today’s statistics, however, show the average American consuming between 140 and 210 pounds per year. Dr. Melvin Page found that just 1 teaspoon of sugar would upset the body chemistry for up to 72 hours.

We are not talking about just bleached white sugar here folks – we are talking about fructose, corn syrup, and refined carbohydrates. Now when you add trans-fats and hydrogenated oils to the mix, your body treats them all the same: they congest your liver and interfere with gallbladder function, disrupt digestion, and interfere with vitamins B, E and calcium metabolism.

This over-consumption ultimately can lead to toxicity and congestion of the vital organs resulting in those aches and pains, mental sluggishness and fatigue that so many people complain about these days. Hopefully you can see why we should all be more concerned with lifestyle and diet – and personalized Health Assessment is your first step!

Carine L. Horner, CCWFN • Holistic Nutritionist • Reiki Practitioner
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