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Gut Health Quiz

Gut Health Quiz (with double opt-in)

Step 1 of 5 -

20%

Gut Health Quiz

Do you experience any belching, gas, bloating within 1 hour of eating?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you experience any heartburn or acid reflux?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you experience any bad breath (halitosis)?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you experience a sense of excess fullness after meals?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you experience any loss of taste/desire for meat?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you feel better if you don’t eat?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you experience any undigested food in your stool?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Upper GI Result

Do you experience any pain between your shoulder blades and/or pain under the right side of your rib cage?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you experience greasy or shiny stools?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you experience light or clay colored stool?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you experience nausea, especially with fatty foods?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you experience dry, itchy skin?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you experience gallbladder attacks?

Never

Years ago

Within the last year

Within the past 3 months

Has your gallbladder been removed?

No

Yes

Do you easily become sick or intoxicated with alcohol?

No

Yes

Liver & Gallbladder Result

History of drug or alcohol abuse and/or any long-term use of medications (birth control, allergy meds, anti-inflammatories for pain control, etc)

No

Yes

Do you experience abdominal bloating 1 to 2 hours after eating?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you experience asthma, sinus congestion, or a stuffy nose?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you crave bread, noodles and/or sugar?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you alternate between constipation and diarrhea?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you have food allergies, sensitivities and intolerances (wheat, grains, dairy, eggs, yeast, etc.)?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you have bizarre, vivid, or nightmarish dreams?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you feel spacey or unreal or foggy?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Have you been diagnosed with Chron’s disease, Celiac Disease, Irritable Bowel Syndrome (IBS), or diverticulosis/diverticulitis?

No

Yes, in the past

Currently (mild)

Currently (severe)

Small Intestine Result

Do you experience anal itching?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you have a coated tongue?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Have you ever taken antibiotics?

Never

Yes, for a total accumulated time of LESS than 1 month

Yes, for a total accumulated time of LESS than 3 months

Yes, for a total accumulated time of MORE than 3 months

Do you experience fungus or yeast infections; ring worm, jock itch, athlete’s foot, nail fungus?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you have less than 1 bowel movement per day or are your stools are hard or difficult to pass?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Are your stools not well formed (loose)?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you have a history of parasites?

No

Yes

Do you have excessive foul-smelling lower bowel gas?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Do you have cramping in the lower abdominal region?

Never

Minor; Rarely Occurs (1x/month)

Moderate; Occasional (Weekly)

Severe; Frequent (Daily)

Large Intestine Result

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