Poor Assimilation and Digestion

Answer the questions below, using the symptom scale:

0=Never 1=Seldom 2=Occasionally 3=Frequently

4=Infrequently with severe symptoms 5=Almost always

Gas

Hunger after eating

Arthritis

Osteoporosis

Unwise food combinations

Upper abdominal heaviness after eating

Undigested food in stool

Intestinal Candida

Excessive fluids with meals (especially iced drinks)

Nausea after eating

Fatigue

Intestinal parasites

Overeating

Heartburn

Constipation

Iron deficiency

Insufficient chewing

Bloating

Feel full after eating an unusually small amount of food

Acne

Anxiety

Indigestion

Diarrhoea

Food allergies

Hurried meals

Please ensure all boxes are filled in with a number, or your report may be inaccurate.

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