Often Sometimes Never - Do you wake between 1am and 3am?

 Often Sometimes Never - Do your energy levels vary dramatically?

 Often Sometimes Never - Do you suffer from any allergies?

 Often Sometimes Never - Do you suffer from bloating or gas?

 Often Sometimes Never - Do you eat a lot of meat and/or dairy?

 Often Sometimes Never - Do you feel sluggish or generally tired?

 Often Sometimes Never - Do you suffer from night sweats?

 Often Sometimes Never - Do you experience headaches?

 Often Sometimes Never - Do you get skin breakouts or irritations?

 Often Sometimes Never - Are you irregular or constipated?

 Often Sometimes Never - Do you drink more than 2-3 units of alcohol daily?

 Often Sometimes Never - Do your diet include a lot of processed foods?

 Often Sometimes Never - Do you get influenza or common colds regularly?

 Often Sometimes Never - Do you have intolerances to certain foods?

 Often Sometimes Never - Do you have a restless sleep pattern or even insomnia?

 Often Sometimes Never - Do you feel exhausted first thing in the morning?

 Often Sometimes Never - Do you have trouble staying focused?

 Often Sometimes Never - Do you feel distant or spaced out ?

 Often Sometimes Never - Do you have a lot of yeast or sugar in your diet?

 Often Sometimes Never - Do you have bad breath or body odour?

Your Name

Your Email

Phone

Your Post Code