Version 1 (for Men):
Page 1
Personal Background
Childhood
Symptoms General
Symptoms Aging
Symptoms Food General
Page 1(a)
Family History
Page 1(b)
Family History Cancer
Page 1(c)
Parasites
Page 1(d)
Fatigue
Page 2
Symptoms Food Intake
Symptoms Food Preferences
Symptoms Food Beverages
Symptoms Environmental
Page 2(a)
Alcohol
Page 3
Symptoms Muscular
Symptoms Skeletal
Symptoms Nervous
Symptoms Liver Gallbladder
Symptoms Gast-Int General
Symptoms Gast-Int Conditions
Page 3(a)
Muscular Symptoms
Page 3(b)
Skeletal Problems
Page 3(c)
Gallbladder Symptoms
Page 3(d)
Liver symptoms
Page 3(e)
Abdominal Pain
Page 3(f)
GI Bacterial Infections
Page 3(g)
Lower Bowel Disease
Page 4
Symptoms Bowel Movements
Symptoms Mouth
Symptoms Eyes
Symptoms Ears
Symptoms Nose
Page 4(a)
Eye Problems
Page 5
Symptoms Allergy
Symptoms Mind General
Symptoms Mind Emotional
Symptoms Glandular
Symptoms Metabolic
Page 5(a)
Symptoms Brain
Page 5(b)
Depression
Page 5(c)
Diabetes
Page 5(d)
Symptoms Glandular
Page 5(e)
Headaches
Page 5(f)
Weight Problems
Page 6
Symptoms Urinary
Symptoms Reproductive
Symptoms Respiratory
Symptoms Sleep
Symptoms Cardiovascular
Symptoms Immune System
Page 6(a)
Male Organ Problems
Page 6(b)
Symptoms STDs
Page 6(c)
Lung Diseases
Page 6(d)
Chest Discomfort
Page 6(e)
Sleep Problems
Page 6(f)
Heart Problems
Page 6(g)
Anemia
Page 6(h)
Symptoms Cancers
Additional Cancer Questions
Page 6(i)
6(i) continued...
Page 7
Symptoms Skin General
Symptoms Hair
Symptoms Nails
Metabolic Typing
Ayurvedic Typing
Habits And Activities
Page 7(a)
Skin Conditions
Page 7(b)
Tobacco Use
Page 8
Supplements And Medications
Medical Procedures
Common Lab Values
Page 8(a)
Nutritional Supplements
Page 8(b)
Herb Use
Page 8(c)
Antacid Use
Page 8(d)
Prescription Antibiotic Use
Page 8(e)
Psychotropic Drug Use
Page 8(f)
Hormone Use
Page 8(g)
Laxative Use
Page 8(h)
Pain Medication
Page 8(i)
Anti-inflammatory Use
Page 8(j)
Recreational Drugs
Page 8(k)
Miscellaneous Medications
Page 8(l)
Blood Pressure Values
Page 8(m)
Lab Values Cells
Lab Values Chemistries
Lab Values Hormones
Lab Values Nutrients
Lab Values Urine
Lab Values Scans
Page 8(a)
Natural Progesterone Use
Page 9
Contact Details
Medical History
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Version 2 (for Women):
Page 1
Personal Background
Childhood
Symptoms General
Symptoms Aging
Symptoms Food General
Page 1(a)
Family History
Page 1(b)
Family History Cancer
Page 1(c)
Parasites
Page 1(d)
Fatigue
Page 2
Symptoms Food Intake
Symptoms Food Preferences
Symptoms Food Beverages
Symptoms Environmental
Page 2(a)
Alcohol
Page 3
Symptoms Muscular
Symptoms Skeletal
Symptoms Nervous
Symptoms Liver Gallbladder
Symptoms Gast-Int General
Symptoms Gast-Int Conditions
Page 3(a)
Muscular Symptoms
Page 3(b)
Skeletal Problems
Page 3(c)
Gallbladder Symptoms
Page 3(d)
Liver symptoms
Page 3(e)
Abdominal Pain
Page 3(f)
GI Bacterial Infections
Page 3(g)
Lower Bowel Disease
Page 4
Symptoms Bowel Movements
Symptoms Mouth
Symptoms Eyes
Symptoms Ears
Symptoms Nose
Page 4(a)
Eye Problems
Page 5
Symptoms Allergy
Symptoms Mind General
Symptoms Mind Emotional
Symptoms Glandular
Symptoms Metabolic
Page 5(a)
Symptoms Brain
Page 5(b)
Depression
Page 5(c)
Diabetes
Page 5(d)
Symptoms Glandular
Page 5(e)
Headaches
Page 5(f)
Weight Problems
Page 6
Symptoms Urinary
Symptoms Female
Symptoms Reproductive
Symptoms Respiratory
Symptoms Sleep
Symptoms Cardiovascular
Page 6(a)
Other Pregnancy Issues
Page 6(b)
Pregnancies
Page 6(c)
Current Pregnancy
Page 6(d)
Pre-Menopause
Page 6(e)
Post-Menopause
Page 6(f)
Symptoms STDs
Page 6(g)
Lung Diseases
Page 6(h)
Chest Discomfort
Page 6(i)
Sleep Problems
Page 6(j)
Heart Problems
Page 6(k)
Anemia
Page 7
Symptoms Immune System
Symptoms Skin General
Symptoms Hair
Symptoms Nails
Metabolic Typing
Page 7(a)
Symptoms Cancers
Additional Cancer Questions
Page 7(b)
7(b) continued...
Page 7(c)
Skin Conditions
Page 8
Ayurvedic Typing
Habits And Activities
Supplements And Medications
Medical Procedures
Common Lab Values
Page 8(a)
Tobacco Use
Page 8(b)
Nutritional Supplements
Page 8(c)
Herb Use
Page 8(d)
Antacid Use
Page 8(e)
Prescription Antibiotic Use
Page 8(f)
Psychotropic Drug Use
Page 8(g)
Hormone Use
Page 8(h)
Laxative Use
Page 8(i)
Pain Medication
Page 8(j)
Anti-inflammatory Use
Page 8(k)
Recreational Drugs
Page 8(l)
Miscellaneous Medications
Page 8(m)
Blood Pressure Values
Page 8(n)
Lab Values Cells
Lab Values Chemistries
Lab Values Hormones
Lab Values Nutrients
Lab Values Urine
Lab Values Scans
Page 8(a)
Natural Progesterone Use
Page 9
Contact Details
Medical History
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