Organic Herbal Colon Cleanse Australia

Parasites Questionnaire

Listed in this questionnaire are symptoms. Your answer comes up at the top of the page when you have finished.

A= symptom never occur
B= symptom occur occasionally
C= symptom occur often
D= symptom occur most of the time
Total Score (A + B + C + D) =
Name A B C D
1.Chronic Fatigue?
2.Unexplained Weight Loss?
3.Always Feel Hungry?
4.Eat Raw Fish?
5.Anemic?
6.Diarrhea?
7.Feeling sick?
8.Lower Stomach Pain?
9.Stomach Bloating?
10.Flatulence/Gas?
11.Hives?
12.Pet Owner?
13.No appetite?
14.Frequent Overseas Travel?
15.Upper Abdominal Bloating?
16.Constipation?
17.Intermittent Constipation and Diarrhea?
18.Abdominal Cramps or Pain?
19.Inflammatory Bowel Disease (IBD)?
20.Drinking Tank Water?
21.Teeth-grinding?
22.Food Intolerances?
23.Previous Parasitic Infections?
24.Intestinal Yeast Growth (Candida)
25.Travelled in tropical or subtropical regions of the world?
26.Body Aches - Flu Like symptoms?
27.Headaches or Migraine?
28.Painful eyes reduced vision, blurred vision?
29.Sore Throat?
30.Gastrointestinal problems
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