The personal history questionnaire gives a general overview of the patient’s health and is recommended for every new patient. It is a tool to provide you with information about the patient, which will direct you to more specific, detailed questionnaires. The database can generate a graphical interpretation of the personal history questionnaire and this will identify other questionnaires that will be useful in evaluating the patient’s health and nutritional needs.

Detoxification Questionnaire:

The detoxification questionnaire provides information about the patient’s ability to remove toxins from the body. This questionnaire is highly recommended for anyone with chronic health problems.

Gastrointestinal Questionnaire:

The gastrointestinal questionnaire provides information about the patient’s ability to digest, absorb and assimilate nutrients from our food. This questionnaire is highly recommended for anyone with digestive problems. Each section of this questionnaire evaluates different gastrointestinal functions. For instance:

Part 1: Evaluates digestive function.
Section A: Evaluates a patient for hypoacidity problems.
Section B: Evaluates a patient for gastric problems (e.g. hyperacidity).
Section C: Evaluates pancreas/small intestine function.
Section D: Evaluates liver/gallbladder function.

Part 2: Evaluates eliminative function.
Section A: Evaluates large colon function.
Section B: Evaluates capillary fragility problems (e.g. hemorrhoids).

Immune Response Questionnaire:

The immune response questionnaire provides information about the patient’s resistance to disease. This questionnaire is highly recommended for anyone with symptoms of a weakened immune system. Each section of this questionnaire evaluates different immune functions. For instance:

Part 1: Evaluates immune response.
Section A: Evaluates a patient for acute or chronic immune problems.
Section B: Evaluates a patient for allergies (e.g. histamine reactions    to the environment or food).
Section C: Evaluates dysbiosis (e.g. yeast such as candida, or parasites).
Section D: Evaluates heavy metal toxicity (e.g. heavy metal excess such as mercury or arsenic).

Structural/Neurological Questionnaire:

The structural/neurological questionnaire provides information about the patient’s musculoskeletal system and nervous system. Each section of this questionnaire evaluates different functions in these systems. For instance:

Part 1: Evaluates structural function.
Section A: Evaluates muscle health.
Section B: Evaluates a patient’s arthro-joint-bone health (e.g. degeneration of joints).
Section C: Evaluates a patient’s immune (joint) health (e.g. inflamed joints).
Section D: Evaluates a patient’s uric acid levels.
Section E: Evaluates a patient’s bone health (e.g. bone density).
Section F: Evaluates a patient’s connective tissue health (e.g. ligament, disc, tendon, cartilage).

Part 2: Evaluates nerve function.
Section A: Evaluates a patient’s neurological health.

Cardiovascular Questionnaire:

The cardiovascular questionnaire provides information about the patient’s cardiovascular system. Each section of this questionnaire evaluates different functions of the heart and blood vessels. For instance:
Part 1: Evaluates cardiovascular function.
Section A: Evaluates heart health.
Section B: Evaluates circulatory health.
Section C: Evaluates blood pressure health.

Respiratory Questionnaire:

The respiratory questionnaire provides information about the patient’s respiratory system. For instance:
Part 1: Evaluates respiratory function.
Section A: Evaluates lung health.

Genito-Urinary Questionnaire:

The genito-urinary questionnaire provides information about the patient’s genito-urinary system. For instance:
Part 1: Evaluates genito-urinary function.

Section A: Evaluates bladder health.
Section B: Evaluates kidney health.

Eyes/Ears Questionnaire:

The eyes/ears questionnaire provides information about the patient’s eyes and ears. For instance:

Part 1: Evaluates eye and ear health.
Section A: Evaluates eye health.
Section B: Evaluates ear health.

Male Questionnaire:

The male questionnaire provides information about a male patient’s health status. For instance:

Part 1: Evaluates male health.

Section A: Evaluates prostate health.
Section B: Evaluates male reproductive or erectile health.
Section C: Evaluates genital health.

Female Questionnaire:

The female questionnaire provides information about a female patient’s health status. For instance:

Part 1: Evaluates female health.
Section A: Evaluates menstrual health.
Section B: Evaluates female hormonal health.
Section C: Evaluates premenstrual health.
Section D: Evaluates fibrocystic concerns.
Section E: Evaluates a woman’s health throughout her change of life.

Endocrine Questionnaire:

The endocrine questionnaire provides information about the endocrine system. For instance:

Part 1: Evaluates endocrine/glandular health.
Section A: Evaluates adrenal function.
Section B: Evaluates thyroid (decreased) concerns.
Section C: Evaluates thyroid (increased) concerns.
Section D: Evaluates blood sugar (decreased) (i.e. hypoglycemia) concerns.
Section E: Evaluates blood sugar (increased) (i.e. hyperglycemia) concerns.
Section F: Evaluates pituitary health.
Section G: Evaluates thymus health.
Section H: Evaluates pineal health.