Online Health Questionnaire

The Online Health Questionnaire to determine various imbalances within your body. The online health questionnaire will take approximately 4 minutes to complete has only 60 questions and covers three aspects.

online health questionnaire

  1. Parasites
  2. Liver toxicity
  3. Environmental toxic buildup.

Keep in mind that many parasite infections can be dormant for a while, then suddenly become active and cause symptoms. Parasites go through several phases of development and can cause symptoms in different parts of the body, depending on what part of the cycle they are in. Check off all that apply to you.

Question #1: Do you enjoy raw fish dishes like sushi or sashimi, Latin American ceviche, or Dutch green herring?

Question #2: Does your pet sleep with you on the bed?

Question #3: Is your water supply from a mountainous area?

Question #4: Do you have persistent acne, anorexia, anaemia, open ileocecal valve, skin Eruptions, PMS, bad breath, itching, pale skin, chronic fatigue, food intolerances, Sinus congestion, difficulty in breathing, oedema, bloody stools, ringing of the ears, anal itching, puffy eyes, palpitations, vague abdominal discomfort or vertigo?

Question #5: Have you ever been to Mozambique, Israel, China, Russia, Asia, Europe or Central or South America?

Question #6: Do your pets eat from your plates?

Question #7: Do you eat smoked or pickled foods, e.g., sausage, lox, herring?

Question #8: At home do you use the same cutting board for chicken, fish and meat as you do for vegetables?

Question #9: Do you forget to wash your hands after petting or cleaning up after your animals and before eating?

Question #10: Do you prepare sushi or sashimi dishes at home?

Question #11: Do you have a history of allergies?

Question #12: Do you use plain tap water to clean your contact lenses?

Question #13: Do you frequently eat hotdogs made of pork?

Question #14: Have you lived with, do you currently live with, or do you frequently handle pets?

Question #15: Do you enjoy raw meat dishes like Italian carpaccio, steak tartare, or Middle Eastern kibbe?

Question #16: Do you garden or work in a yard to which cats and dogs have access?

Question #17: Do you suffer from intermittent diarrhoea and constipation, intermittent loose and hard stools, or chronic constipation?

Question #18: Have you ever swum in freshwater lakes, streams or ponds?

Question #19: Do you use a microwave oven for cooking (as opposed to reheating) pork, fish, or beef?

Question #20: Are there dark circles around or under your eyes?


Although the following symptoms can be related to Liver toxicity, they could also be occurring as a result of other illnesses. The liver is the organ that takes the most strain because it filters all our blood and it is the organ responsible for neutralising toxins Environmental or due to normal metabolism.  So how do you know if your liver is struggling? Check off all that apply to you.

Question #1: Do you think you eat too much sugar or sugary foods, soft drinks or desserts and have strong cravings for sugar?

Question #2: Do you have bad breath or have a coated tongue?

Question #3: Do you get a little travel sick?

Question #4: Do you overheat (feel excessively hot) for no reason or consistently feel too hot when others feel normal?

Question #5: Do you have gallstones or Have you had your gallbladder removed?

Question #6: Do you get discomfort and nausea after eating fatty foods?

Question #7: Do you have pain over the right upper abdomen that radiates into the lower right rib cage area of your back and/or into the right shoulder area?

Question #8: Do you put on excess weight easily or have a large roll of fat around your upper abdomen – known as a liver roll or struggle to lose weight even when you try a strict diet?

Question #9: Are you a diabetic type 1 or have high fasting blood insulin levels (over 10)?

Question #10: Do you take more than 3 courses of antibiotics a year or take pain killers (analgesic drugs) more than twice a week?

Question #11: Do you have multiple chemical and food sensitivities or a lot of headaches associated with nausea?

Question #12: Look at your face (without make-up) at the area at the top of nose between the eye brows – is it a problem area? Such as – scaly or dry or greasy or spotty or discoloured (yellow or greenish) and/or itchy?

Question #13: Do you have a particular hate or love for sour things like vinegar?

Question #14: Are you taking any prescription drugs on a daily basis, or taking drugs to lower cholesterol?

Question #15: Do you have high total cholesterol and high triglycerides score or had elevated liver enzymes on a liver function test in the last 12 months?

Question #16: Do you have recurrent bouts of nausea or vomiting that are unexplained?

Question #17: Do the soles of your feet feel hot or burning or have very red palms on your hands or have indigestion and bloating after eating?

Question #18: Do you have a family history of liver problems that are not caused by alcohol?

Question #19: Do you have acne rosacea (red flushing and pimples over the cheeks and nose)?

Question #20: Are you taking drugs that suppress your immune system (such as cortisone or methotrexate)?

Although the following symptoms can be related to environmental and heavy metal toxicity, they could also be occurring as a result of other illnesses. Environmental toxins have a tendency to go to and disrupt the immune, nervous and hormonal systems. This is where a majority of signs and symptoms are found. Check off all that apply to you.

Question #1: Do you regularly use air fresheners, scented candles, or other scented products at home or work?

Question #2: Do you regularly eat unfermented soya products?

Question #3: Do you ever have Unexplained rashes or skin irritations or Excessive itching, Frequent or recurring heartburn, Inability to handle caffeine or Sensitivity to medications or Sudden or unexplained Hair loss?

Question #4: Are you use or are you exposed to Pesticides or herbicides Adhesives, Flea treatments, Varnishes, Chemical Solvents, Welding or soldering, Metals (Lead, Mercury, Aluminium, Tin etc.), Paints, Photo developing / Dark room chemicals?

Question #5: Do you experience Shortness of breath, Muscle weakness or cramps, Unexplained chronic fatigue and Constant or frequent joint pain?

Question #6: Have you been exposed to treated lumber, lead paint, paint chips or dust, broken mercury thermometers or fluorescent bulbs, or other toxic substances you know of?

Question #7: Do you drink non organic milk three times per week or more?

Question #8: Do you use plug in insect repellents or roll on insect repellents?

Question #9: Have you lived in an agricultural area or near, parks & golf courses, or roadsides?

Question #10: Do you Get headaches just after eating or Experience frequent leg cramps or a Constant or frequent metallic taste in mouth, Burning sensation on the tongue, Constant or frequent ringing or noise in ears?

Question #11: Are you exposed to Household or other cleaning chemicals including Dry cleaning chemicals or do you frequently use dry cleaning?

Question #12: Do you spend more than 3 hours a day in the car?

Question #13: Do you have Difficulty in making even simple decisions or Cold hands and feet, even in moderate/warm weather?

Question #14: Are you experiencing mood swings or are you experiencing a low sex drive?

Question #15: Do you have artificial materials in the body (implants, pins, joints, etc.)?

Question #16: Do you use artificial sweeteners more than twice a day?

Question #17: Have you ever had Candida-Related Complex (CRC) or yeast infections

Question #18: Do you smoke or are often exposed to second-hand smoke?

Question #19: Do you ever feel Constant or very frequent periods of depression, Unexplained irritability, Sudden, unexplained or unsolicited anger, a Constant death wish or suicidal intent?

Question #20: Do you have sensitivity to smells like petrol, perfume, paint, etc.?

Disclaimer: The information contained herein is for educational and informational purposes only and should NOT be used as a substitute for the advice of a qualified healthcare provider.