Name
Email
The scale for responses:the lower numbers is for the top answer and higher numbers is towards the bottom answer.
TIRED
Extremely
Never
TEMPERAMENT
Racy
Calm
A LITTLE SNAPPY
Very bad tempered
Placid
A LITTLE EMOTIONAL
Highly
Balanced
FOOD DOESN'T DIGEST
Uncomfortable
No Problem
SHORT TERM MEMORY
Forget Easily
Great Memory
SUGAR CRAVINGS
Love Sweets
Don't Need Sugar
LIBIDO
Very Low
High
COLD HANDS OR FEET
Very Cold
Normal
FEELING OF HOPELESSNESS
Depressed
Life is Good
MIGRAINE
Extreme
No Headaches
THRUSH
Frequently
BOWEL MOVEMENTS
Irregular
Frequent/Normal
CONSTIPATION
10 Days Appart
Everyday
APPETITE
Always Snacking
Never Hungry
ACNE
Nil
VOICE
Very Deep
Soft
HIGHLY STRUNG
Volatile
IRRITABLE BOWEL SYNDROME
Bad
No
SLEEP PATTERNS
Poor
Very Good
NUMBER OF HOURS OF SLEEP
10 or More
5 - 8
RESTLESS LEGS
Often
LOWER BACK PAIN
WIND/BLOATING
The SUCCESSION QUESTIONNAIRE SCORE is: [field58 + field59 + field60 + field61 + field90 + field94 + field98 + field102 + field107 + field111 + field115 + field120 + field124 + field128 + field132 + field136 + field140 + field144 + field148 + field152 + field156 + field160 + field164 + field168]
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