Head-Based Symptoms Headaches/Migraines Dizziness/Faintness Neck Tension Cloudy Head None of the above Sinus-Based Symptoms Nasal Congestion (Stuffy Nose) Allergies (Seasonal or Daily) Mucus Sneezing Nose Blowing None of the above Eye-Based Symptoms Dark circles under eyes Bags under eyes Itchy eyes Discharge or watery eyes Blurred vision Crusty eyes upon waking None of the above Ear-Based Symptoms Itchy ears Discharge or drainage from ears Ringing in ears (Tinnitus) Excessive wax buildup Blocked or muffled hearing None of the above Teeth-Based Symptoms Pain in gums or teeth Bleeding gums Silver fillings None of the above Mouth-Based Symptoms Canker sores Cold sores (Herpes virus) Cracking on lips Discolored lips White film on lips upon waking or after eating None of the above Tongue-Based Symptoms Red dots on tongue Side of tongue has dents (Scalloping) White, yellow, or brown coating on tongue Cracks or lines on tongue None of the above Glands-Based Symptoms Swollen lymph nodes (neck, armpits, or groin) Difficult swallowing Loss of voice Swollen ankles or hands/wrists/fingers None of the above Breathing-Based Symptoms Chest tension Inability to get enough air in Chest congestion Chronic cough Clearing throat a lot Voice hoarseness None of the above Weight-Based Symptoms Difficulty losing weight Gaining weight easily Feeling puffy or swollen Retaining water Binge or compulsive eating None of the above Joint/Muscle-Based Symptoms Pain in joints Muscle stiffness Limited range of motion Muscle weakness Arthritis None of the above Skin-Based Symptoms Acne Hair loss Flushing/hot flashes Dry, flaky skin Excessive sweatiness Hives or itchiness Psoriasis, eczema, ringworm, or skin rashs None of the above Sleep-Based Symptoms Inability to fall asleep Can't stay asleep/wake frequently Nightmares Heart racing at night Night sweats None of the above Energy-Based Symptoms Tired upon waking Daytime or afternoon fatigue General lack of energy Apathy Lack of ambition or drive None of the above Energy-Based Symptoms 2 Hyperactivity (can't sit still) Restlessness (uncomfortable with quiet) Tapping feet or shaking legs when seated Decreased libido or sexual function None of the above Digestive-Baséd Symptoms Feeling tired after meals (especially lunch) Gas Belching/burping Heartburn or indigestion None of the above Digestive-Based Symptoms 2 Diarrhea Constipation Stomach or intestinal pain Nausea or vomiting Stomach sticking out more as day progresses None of the above Mind-Based Symptoms Lack of concentration Easily distracted or lose train of thought Difficult making decisions Brain fog None of the above Mind-Based Symptoms 2 Stuttering or difficulty putting sentences together Uncoordination or dropping things ADD/ADHD or learning disabilities None of the above Emotion-Based Symptoms Anxiety Overwhelm Irritability Anger or rage Dark thoughts None of the above Emotion-Based Symptoms 2 Sad for no reason Mood swings Depression High-strung Seasonal Affective Disorder (SAD) None of the above Immunity-Based Symptoms Frequent colds (more than 2-3 illnesses/year) Allergies (environmental or non-fatal food sensitivities) Pneumonia in the last 12 months Diagnosed disease Unexplained illness None of the above Thank you for taking my toxicity assessment quiz.
