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Metabolism Checklist
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Step 1. make a copy of this sheet
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Step 2. fill out column number 1
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Step 3. answer the questions below
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Step 4. send it back to michele@michelescarlet.com for review
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Step 5. book your FREE Metabolism Strategy Call (link below)
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How to Use This Checklist: Score each symptom from 0–5. 0 = Never 5 = It’s affecting me daily. Be honest — this is for your clarity. Your total will tally at the bottom.
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KEY: Red numbers indicate worsening since last test. Green numbers indicate improvement.
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654321SymptomsNotes and Comments
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4Interupted sleep
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4Constipation
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2Diarrhea
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4Food Cravings
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4Pain in Joints, stiffness
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2Brain Fog
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2Difficulty Concentrating
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5Low libido
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3Do not wake feeling refreshed
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0Food sensitivities
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2Energy dips in the afternoon
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0Exercise exhausts, makes me feel worse
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0Acid Reflux
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0Burping
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3Bloating
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2Gas/Flatulence
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3Often awake between 2-3 a.m.
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2Frequent Sinus Congestion
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0Hair loss/ thinning hair
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1Puffiness in face, hands and feet
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2Headaches
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3Menstrual Irregularities - heavy, cycle length etc.
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3Skin Issues, Acne, dermititis, eczema, psoriasis
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4Lack of appitite in the morning or ever
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1Takes effort to perform daily tasks
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High Cholesterol
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4Irritable/ short-tempered
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3Lack of motivation
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0Rashes, or Hives
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1Body Odor
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5Tendency towards anxiety
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4Tendency towards depression
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0Difficulty Sweating
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4Circular Thinking
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0Type A Personality
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5Weight Gain - Especially around the belly
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5Unable to Lose Weight
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3High Stress Life
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4Unaddressed Emotional Trauma
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What 3 Symptoms Are Your Main Complaints?weight gain/inability to lose, lack of motivation,
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On a Scale of 1-10 how ready are you to feel better?
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Click Here to Book your Metabolism Strategy Call HERE for your Free Results Interpretation & Custom Roadmap to Losing 15+lbs in the next 90 days!
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