Functional Exam Qualifying Questions

Please fill out this questionnaire and be as accurate as possible with your answers.


For Adrenals Screening

 Yes No

 Yes No

 Yes No

 Yes No

 Yes No

 Yes No

 Yes No

 Yes No

For Fatty Acid Screening

Oral pH Test
 Yes No

 Yes No

Muscle Test
 Yes No

For Mineral Balance Screening

 Yes No

 Yes No

Iron Test
 Yes No

For Endocrine Screening

 Yes No

 Yes No

 Yes No

 Yes No

For Immune & Allergy

 Yes No