This questionnaire asks you to assess how you have been feeling during the last four months. This information helps track how your physical, mental, and emotional states respond to changes you make in your eating habits, priorities, supplement program, social and family life, level of physical activity, and time spent on personal growth. All information is held in strict confidence. Take all the time you need to complete this questionnaire.
For each question, choose the response that best describes your symptoms:
- Rarely
- You have never experienced the symptom or the symptom is familiar to you but you perceive it as insignificant (monthly or less).
- Occasionally
- Symptom comes and goes and is linked in your mind to stress, diet, fatigue, or some identifiable trigger.
- Often
- Symptom occurs 2–3 times per week or with a frequency that bothers you enough that you would like to do something about it.
- Frequently
- Symptom occurs 4 or more times per week or you are aware of the symptom every day, or it occurs with reqularity on a monthly or cyclical basis.
When you are ready to begin, please answer the questions below and press "Begin." Your gender selection will determine gender-related questions. You will not be asked questions that do not apply to you.