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