DYSBIOSIS QUIZ

Do you have digestive and bowel problems?

Please take OUR DYSBIOSIS QUIZ to see if you have altered bowel flora that may be affecting your health.

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Title

First Name *

Last Name *

Email Address *

Date of Birth *

Do you experience bloating? (Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you suffer from indigestion? (Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you experience excessive belching or flatulence? (Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you have rectal itching? (Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you have food intolerances? (Never 0 Occasionally 1 Regularly 2 Daily 3)

Are your stools foul smelling? (Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you have Irritable Bowel syndrome? (Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you have constipation or diarrhoea? (Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you have Celiacs or Crohn's disease? (Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you have undigested food in your stools? (Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you have an inflammatory skin condition such as: Psoriasis, eczema, acne, hives? (Never 0 Occasionally 1 Regularly 2 Daily 3)

TOTAL of scores - please add up and place total here

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Sinusitis

Bloating & Flatulence

Heartburn & Acid Reflux

Irritable Bowel Syndrome (IBS)

Leaky Gut & Dysbiosis

Optimal Digestive Health Plan

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