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*A Detoxification self-test is one of the most useful and accurate methods of determining toxin-related health problems. It also serves as a tool for monitoring your health progress.  Please Note:  If a question does not apply to you, click on the never circle.


•
For Each of the Following Questions, Click on the Appropriate Circle in the Point Score Column.		  

Never=0
 		  

Rarely=1
 		  

Sometimes=2
 		  

Often=3
 
1. Do you drink non-filtered water?  Never   Rarely   Sometimes   Often 
2. Do eat fast foods?  Never   Rarely   Sometimes   Often 
3. Do you drink soda?  Never   Rarely   Sometimes   Often 
4. Do you drink less than 8 glasses of water a day?  Never   Rarely   Sometimes   Often 
5. Do you have less than 2 bowel movements per day?  Never   Rarely   Sometimes   Often 
6. Do you have bags under your eyes?  Never   Rarely   Sometimes   Often 
7. Do you have food sensitivities or food allergies?  Never   Rarely   Sometimes   Often 
8. Do you have foul smelling gas?  Never   Rarely   Sometimes   Often 
9. Do you have difficulty losing weight?  Never   Rarely   Sometimes   Often 
10. Do you experience brain fog (difficult concentration or focus)?  Never   Rarely   Sometimes   Often 

•
For Each of the Following Symptoms, Click on the Appropriate Circle in the Point Score Column.		  

Never=0
 		  

Rarely=1
 		  

Sometimes=2
 		  

  Often=3  
 
11. Feeling of being "drained"  Never   Rarely   Sometimes   Often 
12. Dizziness  Never   Rarely   Sometimes   Often 
13. Poor memory  Never   Rarely   Sometimes   Often 
14. Depression  Never   Rarely   Sometimes   Often 
15. Lack of energy or spark  Never   Rarely   Sometimes   Often 
16. Irritability  Never   Rarely   Sometimes   Often 
17. Abdominal bloating  Never   Rarely   Sometimes   Often 
18. Diarrhea  Never   Rarely   Sometimes   Often 
19. Sore or dry throat  Never   Rarely   Sometimes   Often 
20. Loss of sexual desire  Never   Rarely   Sometimes   Often 
21. Acne or psoriasis  Never   Rarely   Sometimes   Often 
22. Headaches  Never   Rarely   Sometimes   Often 
23. Muscle aches  Never   Rarely   Sometimes   Often 
24. Pain or swelling in joints  Never   Rarely   Sometimes   Often 
25. Nasal congestion or discharge  Never   Rarely   Sometimes   Often 
26. Postnasal drip  Never   Rarely   Sometimes   Often 
27. Cough  Never   Rarely   Sometimes   Often 
28. Bad breath  Never   Rarely   Sometimes   Often 
29. Belching or intestinal gas  Never   Rarely   Sometimes   Often 
30. Wheezing or shortness of breath  Never   Rarely   Sometimes   Often 
 
 
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