Fungus & Parasites

Have you ever been given general anesthesia?
Yes
No
Have you ever taken antibiotics?
Yes
No
Have you been or are you being treated for any condition requiring that you take medical drugs?
Yes
No
In general, are your bowel movements loose, hard or foul smelling?
Yes
No
Would you consider your life to be:
Stress Free
Mildly Stressful
Very Stressful
Do you currently suffer from any digestive disorder or frequently have pain in the region above or below the navel?
Yes
No
Do you have mercury amalgam fillings in your mouth?
Yes
No
Do you have two different kinds of metal in your mouth; I.e., gold and silver or mercury amalgam and gold or silver?
Yes
No
Do you experience itching in the ears, nose or rectum area?
Yes
No
Do you have or have you had dandruff in the past year?
Yes
No
Do you regularly eat or drink products containing sugar, white flour, processed dairy products?
Yes
No
Do you crave sugar, fruit or milk if you don’t have either of these items for more than three days?
Yes
No
Do you find that regardless of how much you eat you get hungry quickly?
Yes
No
In the past year, have you experienced athlete’s foot (itching around the toes, soles or heel of the feet), jock itch or a fungal infection under a toenail (thickening of the toenail)?
Yes
No
Do you ever get a reddening around the mouth or nose area after eating or drinking?
Yes
No
Do you experience muscle or joint aches on a regular basis?
Yes
No
Do you experience mood swings?
Yes
No
Do you snack on sweets or drink coffee, soda pop or sports drinks most days to keep your energy up?
Yes
No
Do you suffer from any kind of skin condition?
Yes
No
Have you ever had sex or close physical contact with anyone who you know had a fungal infection (including athletes foot, jock itch, dandruff) or parasite infection?
Yes
No
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