WHEN ANSWERING THESE QUESTIONS, PLEASE USE THE FOLLOWING SCALE:
1 - I don’t experience this or I experience this very infrequently
2 - I experience this to a small degree or very mildly
3 - I experience this about 2-3 times per week
4 - I experience this on a fairly regular basis
5 - I experience this daily or fairly severely
PAIN
SLEEP
ENERGY
DIGESTION
WEIGHT, APPETITE, AND BLOOD SUGAR
BRAIN AND FOCUS
MUSCLE FATIGUE AND STIFFNESS
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