Do you feel that your health has worsened over the past 2 years
Have you ever lost or gained more than 10% of your body weight over the past 5
Do you have trouble going to sleep or staying asleep?
Does pain in your joints or muscles limit your physical activity or mobility?
Do you commonly feel fatigued for no apparent reason?
Are you frequently depressed or anxious?
Do you have memory issue?
Is there consistent ringing in your ears?
Do you feel that you are losing your strength?
Do you any prescription medications: do you take more than two at a time?
How about over-counter medications? Do you commonly take any of these: Anti-
inflammatory, Antacids, Analgesics, Sleeping Remedies?
Do you suffer from allergies?
Do you occasionally have episodes of poor concentration or confusion?
Do you commonly suffer from shortness of breath or feel wind up?
