My Naturpath Gold Coast: Free Health Test

Phone: 07 55 202 404 Email: info@mynaturopathgoldcoast.com.au

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Q30	Do you have any joint or muscle stiffness in the mornings?
	a) Yes, I have difficulty moving and experience a lot of pain
	b) Yes, I have some stiffness or feel niggly pain but better with movement
	c) No, but I do not have the same mobility as I used to
	d) No, I wake without any pain or stiffness

Q31	Do you have allergies? Eg Pollens, dust, animals, perfumes?
	a) No, never
	b) Yes, very occasionally – less than twice per year
	c) Yes, reactions occur about once per month
	d) Yes, reactions occur once per week or more

Q32	How often do you suffer pain eg headaches, muscle soreness, joint aches, gut pain?
	a) Hardly ever/never
	b) On average once per month
	c) On average once per week
	d) On average once daily

Q33	Do you have skin rashes or sores that won't heal or go away?
	a) No
	b) Yes, They heal but come back quickly
	c) Yes, they don’t heal or go away at all

Q34	40. Do you have any of the following conditions: irritable bowel disorder, celiac disease, multiple sclerosis, psoriasis, rheumatoid arthritis?
	a) Yes, I have one or more of these current conditions
	b) Yes, but symptoms have been corrected
	c) No, but have family history of these conditions
	d) No/I am unsure

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Phone: (07) 55 202 404

Email: info@mynaturopathgoldcoast.com.au

Address: 90 Treeview Dr, Burleigh Waters

Postal: Po Box 2882, Burleigh Waters, 4220

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