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                  • Optimal Diet Foundation >
                    • Digestion
                  • Create Your Own Food >
                    • Impact of Supplements >
                      • BCAAs
                      • Creatine Monohydrate
                      • Diatomaceous Earth
                      • Omega-3 Fatty Acids
                      • Probiotics
                      • Spirulina
                  • Whole Foods >
                    • Alkaline vs. Acidic >
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              • Testing
              • Parasites
            • Physical Therapy >
              • Lumbar Spine
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Toxicity Questionnaire

Directions

To complete the toxicity questionnaire, simply fill in the blank with a 0, 1, 2, or 3 depending on your typical symptoms.

0 = Never feel this symptom
1 = Feel this symptom 1-2 times per month
2 = Feel this symptom weekly
3 = Feel this symptom daily
Head
       Headaches/Migraines
       Dizziness/Faintness
       Neck tension
       Cloudy head
Sinus
       Nasal congestion (stuffy nose)
       Allergies (seasonal or daily)
       Mucus
       Sneezing
       Nose blowing
Eyes
       Dark circles under eyes
       Bags under eyes
       Itchy eyes
       Discharge or watery eyes
       Blurred vision
       Crusted eyes upon waking
Ears
       Itchy ears
       Discharge or drainage from ears
       Ringing in ears, tinnitus
       Excessive wax build up
       Blocked or muffled hearing
Teeth
       Pain in gums or teeth
       Bleeding gums
       Silver fillings (Score with a 3 if you have any metal fillings)
       Metal crowns or Root canals (Score a 3 for crowns or root canals)
Mouth
       Canker sores
       Cold sores (herpes virus)
       Cracking on lips
       Discolored lips
       White film on lips upon waking or after eating
Tongue
       Red dots on tongue
       Sides of tongue have dents (“scalloping”)
       White, yellow, or brown coating on tongue
       Cracks or lines on tongue
Glands
       Swollen lymph nodes (neck, armpits, or groin)
       Difficulty swallowing
       Loss of voice
       Swollen ankles or wrists/hands/fingers
Breathing
       Chest tension
       Inability to get enough air in
       Chest congestion
       Chronic cough
       Clear throat a lot
       Voice hoarseness
Weight
       Difficulty losing weight
       Gain weight easily
       Feel swollen or puffy
       Retain water
       Binge or compulsive eating
Joints/Muscles
       Pain in joints
       Muscle stiffness
       Limited range of motion
       Muscle weakness/Loss of strength
       Arthritis
Skin
       Acne
       Hair loss
       Flushing/Hot flashes
       Dry, flaky skin
       Excessive sweating
       Hives or itchiness
       Psoriasis, eczema, ringworm or skin rashes
Sleep
       Inability to fall asleep
       Can’t stay asleep/Wake up frequently
       Nightmares
       Heart racing at night
       Night sweats
Energy
       Tired upon waking
       Daytime or afternoon fatigue
       General lack of energy
       Apathy
       Lack of ambition or drive
       Hyperactivity (can’t sit still - have to always be doing something)
       Restlessness (feel uncomfortable with quiet)
       Tap feet or shake leg or hands when seated
       Decreased libido or sexual function
Digestion
       Get tired after meals (especially lunch)
       Bloating
       Gas
       Belching/Burping
       Heartburn or indigestion
       Diarrhea
       Constipation
       Stomach or intestinal pain
       Nausea or vomiting
       Stomach sticks out more as day progresses
Mind
       Lack of concentration
       Easily distracted or lose train of thought
       Difficulty making decisions
       Brain fog
       Stuttering or difficulty putting together sentences
       Uncoordinated or drop things
       ADD/ADHD or learning disabilities
Emotions
       Anxiety
       Overwhelm
       Irritability
       Anger or rage
       Dark thoughts
       Sad for no reason
       Mood swings
       Depressed
       High-strung
       Seasonal Affective Disorder (SAD)
Immunity
(Score each question below with 10 points if you answered yes)
       Frequent colds (more than 2-3 illnesses a year)
       Allergies (environmental or non-fatal food sensitivities)
       Pneumonia (Score with a 10 if yes within the last 12 months)
       Diagnosed disease (Score with a 10 if you have a diagnosed disease)
       Unexplained illness (Score with a 10 for an undiagnosed disease)

Total Score
       Grand Total Score (add up your total points from above)

Scoring

Take a look at your overall quiz results and see which health sections you seem to be doing the best and what areas need some work. Those are the areas where you have underlying imbalances that must be corrected. After adding up your total point total see what
toxicity stage you’re at below:

Stage 1: 0-9 points

Congratulations it looks like you’re doing great! You appear to be well and it seems like you have your health under control. Just make sure you are not adding to your total body burden with continued stress, lack of sleep, poor eating, etc.

In terms of detoxification, it is recommendation at this point to only engage in a seasonal 7-day detox to keep up with and remove the continual accumulation of toxins. Do also try to incorporate a healthy daily routine to stay well and balanced.

stage 2: 10-19 points

It looks like you’re doing pretty well, but you’re starting to see the effects of hidden toxicities expressing themselves on the outside as
symptoms. It’s also at this point that you may be moving towards a dis-ease state unless you begin to remove the toxins that you have accumulated. A formal 7, 14, or 21-day detox is advised and then seasonal detoxes after that to maintain optimal health and balance. It is also highly recommended to incorporate daily healthy living routines.

Stage 3: 20+ points

Your body is now showing signs of toxic overload and total body burden. Most likely, you are feeling the effects of this toxicity in your
daily life in terms of inflammation, lowered vitality, lowered mood, and less overall “get up and go.” A 21-day detox is recommended followed by a seasonal 7, 14, or 21-day detoxes to decrease toxic accumulation until you reach a score of 10 or less. At that point you can simply drop down to one 7-day detox seasonally/quarterly.

How to Detox

Coming soon!
Download the PDF version

References

Cabral, S. (2017). The Rain Barrel Effect. South Carolina: CreateSpace Independent Publishing Platform
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  • Home
    • Start Here >
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                    • Ego >
                      • Cognitive Dissonance >
                        • Anxiety
              • Body >
                • Anatomy >
                  • Organ Systems >
                    • Endocrine System >
                      • Pineal Gland
                    • Fascia
                • Physiology >
                  • Bioenergetics >
                    • Mitochondria
                  • Hormones >
                    • Testosterone
                    • Thyroid
                    • Pregnenalone
                    • Progesterone
                  • Bone Biomechanics
                  • Inflammation
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                • Nutrients >
                  • Macronutrients >
                    • Carbohydrates >
                      • Inositol
                    • Fat >
                      • Linoleic Acid
                    • Protein >
                      • Amino Acids >
                        • L-Theanine
                      • Collagen
                    • Water
                  • Micronutrients >
                    • Vitamins >
                      • Vitamin A
                      • Vitamin C
                      • B Vitamins
                      • Vitamin D
                    • Minerals >
                      • Copper
                      • Electrolytes
                      • Magnesium
                      • Boron
                  • Antioxidants >
                    • Glutathione
                  • Flavonoids >
                    • Greens
                    • Diosmin / Hesperidin
                  • Antinutrients >
                    • Histamine
                    • Mycotoxins
                  • Phytonutrients
                  • Therapeutics >
                    • Shilajit
                    • GABA
                    • Probiotics
                    • Enzymes
                    • Hydrochloric Acid
                    • Methylene Blue
                    • Adrenal Cocktail
                    • Diatomaceous Earth
                    • Mushrooms
                  • Energy Metabolism >
                    • Alcohol
                    • Caffeine
                    • Sugar-Sweetened Beverages
                  • Nutrient Timing >
                    • Intermittent Fasting >
                      • Calorie Restriction
                • Steps to an Optimal Diet >
                  • Optimal Diet Foundation >
                    • Digestion
                  • Create Your Own Food >
                    • Impact of Supplements >
                      • BCAAs
                      • Creatine Monohydrate
                      • Diatomaceous Earth
                      • Omega-3 Fatty Acids
                      • Probiotics
                      • Spirulina
                  • Whole Foods >
                    • Alkaline vs. Acidic >
                      • Acidic Foods
                      • Alkaline foods
                  • Plant-Based >
                    • Vegetarianism
                  • Animal Products >
                    • Dairy
                  • Organic
                  • Local & Seasonal
                  • Biochemical Individuality
                • Sample Meal Plans
                • Obesity >
                  • Cholesterol
                  • Weight Management
              • Fitness >
                • Active Warmup
                • Concurrent Training >
                  • Aerobic Exercise >
                    • HIIT
                  • Resistance Training >
                    • Push
                    • Pull
                    • Legs
                    • Abdominals
                    • Accessory Muscles
                  • Sports-Specific Training
                • Stretching
                • Exercise Adherence
              • Silence >
                • Sleep
          • Remedies & Therapies >
            • Ayurveda >
              • Detoxification >
                • Methylation
                • Basti
              • Doshas
              • Chakras
            • Functional Medicine >
              • FODMAP
              • Testing
              • Parasites
            • Physical Therapy >
              • Lumbar Spine
            • Contrast Therapy >
              • Deliberate Heat Exposure
              • Deliberate Cold Exposure
            • Herbalism >
              • Milk Thistle
              • Cannabis
              • Ginkgo biloba
              • Ginseng
            • Subtle Energy >
              • Earthing
          • Risk Factors >
            • Chemicals
            • Cigarettes
        • Lifestyle Applications >
          • Conscious Creations >
            • The Basics >
              • How to Shop
              • Kitchen Essentials
            • Food >
              • Sprouting
              • Vegetables >
                • Cruciferous Vegetables >
                  • Maca
              • Fruits
              • Whole Grains >
                • Gluten
            • Recipes >
              • Appetizers >
                • Appetizers
              • Breakfast
              • Entrées >
                • Entrées
              • Sweets
              • Beverages >
                • Beverages
              • Dressings
          • Mindful Movement >
            • Breathing
            • Mobilization
            • Stretches
            • Stabilization
            • Exercises
            • Program Design
          • Personal Growth >
            • Communication
            • Effectiveness >
              • Goal Setting
            • Meditation >
              • Mindfulness
            • Motivation
            • Human Relations
            • Simple Living >
              • Self-sufficiency
              • Minimalism >
                • Quality Over Quantity
              • Basic Needs
      • Outer World >
        • Relationship Concepts
        • Community Concepts >
          • Development >
            • Decentralization
            • Infrastructure
            • Sustainability >
              • Permaculture
          • Values >
            • Do No Harm
            • Cooperation
            • Sense of Community
            • Service
          • Culture
        • World concepts >
          • Geopolitics >
            • Agriculture
            • Government >
              • Politics >
                • Systems >
                  • Agorism
                  • Democracy >
                    • Voting
              • Military Industrial Complex >
                • Declassified Projects >
                  • Bluebeam
                  • Highjump
                  • Manhattan
                  • MKUltra
                  • Mockingbird
                  • Northwoods
                  • Paperclip
                  • Popeye
                  • Stormfury
              • Healthcare >
                • Pharmaceuticals
                • Vaccines
                • Water Fluoridation
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                • Biometrics
              • Social Media
            • Zero-Point
          • Media >
            • Context >
              • Mainstream Media
            • Advertising >
              • Television
            • Propaganda >
              • Education >
                • Conditioning
                • History of Humanity
              • Psychological Operations >
                • False Flag Attacks >
                  • 9/11
              • Symbols >
                • Language
        • Cosmological Concepts >
          • Philosophy >
            • Hermetic Philosophy >
              • Mentalism >
                • Law of One
              • Correspondence
              • Vibration
              • Polarity
              • Gender
              • Rhythm
              • Cause & Effect
            • Metaphysics >
              • Cosmology
              • Ontology >
                • Hidden Messages >
                  • Numeric >
                    • Numerology
                  • Visual >
                    • Sacred Geometry >
                      • Fibonacci Sequence
            • Logic
            • Knowledge
          • Science >
            • Life >
              • Biology
            • Physical >
              • Physics >
                • Astronomy >
                  • Contents >
                    • Solar System >
                      • Earth
                      • Sun
                • General >
                  • Entropy
                  • Time
                  • Frequencies >
                    • Dimensions
                • Theorectical >
                  • Quantum Mechanics
                  • Multiverse
                  • Holographic Universe
          • Phenomena >
            • Extraterrestrials
            • Interplanetary Climate Change
    • Domains >
      • I >
        • Awareness
        • Lifestyle
      • We >
        • Relationships
        • Community
      • All >
        • World
        • Cosmos
  • Store
    • All Products >
      • Body Care >
        • Bath Salts >
          • Relax
        • Soap Bars >
          • Gentle Lavender Soap
        • Herbal Oils >
          • Radiance Skin Serum
        • Salves/Lotions >
          • Relief Body Butter (CBD + Magnesium)
          • CBD Body Butter - Herbal Salve
          • Dirty Chai Body Butter
          • Sweet Rose Cream
          • Golden Body Butter
          • Boo-Boo Salve
          • Loving Sister Salve
          • Sacred Moon Body Butter
      • Extracts >
        • Tinctures >
          • Mycelium Mix
          • Balance Formula
          • Respire
          • Endurance
          • Vital Roots - Detox
          • Bio Shield - Microbe Detox
          • Progesterone Balance
          • Bone Strength
        • Tonics / Syrups >
          • Fire Cider
          • Nutri-Tonic
          • Sour Cider
          • Bitter Tonic
          • Elderberry Immunity
          • Resilience
      • Herbal Tea >
        • Afternoon Delight
        • Happy Tummy
        • Homestead Garden
        • Mystic Garden
        • Nutri Tea
        • Serenity
        • Sleepy Tea
        • 5th Chakra Evolved Chai
      • Supplements >
        • BPC-157
    • Wellness Programs >
      • Movement Program
      • Nutrition Program
      • Lifestyle Program
      • Integral Wellness Program
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      • Free Guides >
        • Kickstart Your Path To Holistic Vitality
      • Workshops >
        • Low Back Pain Workshop
      • Film & Literature
      • Quote Archive
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    • Support