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General Health Survey
Please mark to what degree the following statements apply to you
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I tend to feel obstruction/ blockages in the body. (Constipation, congestion/ heaviness in the head area, blocked nose, general feeling of non-clarity, or other).
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
I tend to feel obstruction/ blockages in the body. (Constipation, congestion/ heaviness in the head area, blocked nose, general feeling of non-clarity, or other)
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
I tend to feel tired or exhausted mentally and physically.
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
I get common colds or similar ailments several times a year.
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
I get common colds or similar ailments several times a year.
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
I tend to feel that something is not functioning properly in the body. (Breathing, digestion, elimination, or other)
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
I tend to feel heaviness in the body.
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
I tend to be lazy, e.g., the capacity to work is there, but there is no inclination.
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
I often suffer from indigestion.
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
I tend to have to spit repeatedly.
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
I tend to have to spit repeatedly.
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
Often I have no taste for food and no real appetite.
0% of the time
0
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2
3
4
5
100% of the time
Clear selection
Often I have no taste for food and no real appetite.
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
My tongue is often coated, especially in the morning.
0% of the time
0
1
2
3
4
5
100% of the time
Clear selection
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