Symptom
Select from the list the
option that best applies to you
Nail biting
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Rough, flaky skin, chapped skin, lips
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Heart palpitations
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Constipation
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Fainting spells
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Acne
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Weakness due to low blood sugar
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Fevers
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
A sense of failure
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Night sweats
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Allergies, asthma
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Cough, sore throat
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Sluggish digestion, food "just sits" in the
stomach
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Cyst and other growth
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Edema, water retention, Bloated feeling
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Intestinal gas, Belching, hiccups
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
High blood pressure
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Intolerance to cold and wind
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Dry, sore throat, dry eyes
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Intestinal bloating
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Sunburn, sunstroke
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Intolerance to heat
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Problems with vision or "seeing" solutions to
problems
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Pronounced yellowing of feces and urine
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Patchy, florid complexion
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Excessive emphasis on possessing, storing and saving
things
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
High cholesterol
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Feel withdrawn, insecure or unwanted
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Intolerance to cold and damp
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent
Loose or aching joints
Does not apply
Weak, Very rarely
Moderate
Strong, Frequent