LEAKY GUT QUIZ

Do you have digestive and bowel problems?

Please take OUR LEAKY GUT QUIZ to see if you have altered intestinal permeability to the gut wall that may be affecting your health.

* Required

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 regular pain or spasms in the abdomen?(Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you have intermittent or regular constipation or diarrhoea?(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 itchy or inflammatory skin condition such as hives or skin rashes?(Never 0 Occasionally 1 Regularly 2 Daily 3)

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

Do you feel discomfort after eating wheat products such as bread and pasta?(Never 0 Occasionally 1 Regularly 2 Daily 3)

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

Have you had more colds or flu than normal?(Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you suffer with joint or muscular pain?(Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you have sensitivities to chemicals such as soaps, shampoos, sprays?(Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you have mood swings?(Never 0 Occasionally 1 Regularly 2 Daily 3)

Are you unusually tired or fatigued?(Never 0 Occasionally 1 Regularly 2 Daily 3)

Are you having anxiety attacks or unusual anxiety?(Never 0 Occasionally 1 Regularly 2 Daily 3)

Do you feel depressed?(Never 0 Occasionally 1 Regularly 2 Daily 3)

Does your memory seem worse than usual?(Never 0 Occasionally 1 Regularly 2 Daily 3)

Are you suddenly gaining weight?(Never 0 Occasionally 1 Regularly 2 Daily 3)

TOTAL of scores - please add up and place total here

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