Questionnaire: Are you are eating the right foods for your body?
Score yourself for the following symptoms, indicating severity and/or frequency as follows:
1 – mild; 2 – moderate; 3 – severe. Leave blanks when answers do not apply.
| Item | Score |
| 1 Frequent desire for sweet/quick energy foods – confectionery, honey, soft drinks etc | |
| 2 Fatigue relieved by eating or drinking | |
| 3 Tiredness in the mid or late afternoon | |
| 4 Chronic fatigue | |
| 5 Irritability before meals | |
| 6 Cups of tea/coffee per day. (Score 1 for 2 cups; score 2 for 3-5 cups; score 3 for 5+ cups) | |
| 7 Sugar or honey in tea/coffee. Score 1 for 1tsp; 2 for 2tsp; 3 for 3 tsp in either | |
| 8 Faintness when meals delayed | |
| 9 Headaches or “heavy head in between meals, morning or afternoon | |
| 10 Sleepy during the day or after meals | |
| 11 Chronic nervous exhaustion | |
| 12 Lack of energy | |
| 13 Fluctuating emotions | |
| 14 Need to eat often | |
| 15 Sleep disturbances – awaken after a few hours sleep or difficulty getting to sleep | |
| 16 Difficulty concentrating | |
| 17 Sluggish or lethargic in morning until after tea, coffee or breakfast | |
| 18 Episodes of dizziness or faintness | |
| 19 Periods of depression, “blues” or melancholy | |
| 20 Poor memory | |
| 21 Frequent anxiety | |
| 22 Worrier, feeling insecure | |
| 23 Need to drive oneself to get things done | |
| 24 Become tearful easily | |
| 25 Reduced initiative | |
| 26 Eat when nervous | |
| 27 Bad dreams or incessant dreaming | |
| 28 Cigarette smoking. 0-10 per day score 1; 11-20 per day score 2; 21+ per day score 3 | |
| 29 Aware of breathing heavily | |
| 30 Episodic blurred or dulled vision | |
| 31 “Butterflies”, stomach cramps or hunger pains | |
| 32 Get shaky if hungry | |
| 33 Heart palpitates if meals missed or delayed | |
| 34 Hunger between meals | |
| 35 Inward trembling, tremors and/or cold sweats | |
| 36 Weakness spells | |
| 37 Magnify insignificant events | |
| 38 Blackouts or convulsions | |
| 39 Can’t decide easily | |
| 40 Bouts of anger or unreasonable behaviour | |
| 41 Feel better after breakfast | |
| 42 Above symptoms worse if premenstrual (women only) | |
| 43 Alcohol consumption. Less than once fortnightly score 0; 1-2 glasses per week score 1; average 1-3 glasses per day score 2; average 4+ glasses per day score 3 | |
| 44 Allergies – tendencies to asthma, hay fever, skin rashes etc | |
| 45 Bleeding gums | |
| 46 Hallucinations | |
| 47 Cold hands and feet in winter | |
| 48 Difficulty in gaining weight | |
| 49 Tendency to gain weight easily | |
| 50 Decreased learning and memory | |
| 51 Confusion or forgetfulness | |
| 52 Restlessness | |
| 53 Suicidal tendencies | |
| 54 Vertigo distress | |
| 55 Tremor | |
| 56 Muscle pains, backache, leg cramping | |
| 57 Numbness | |
| 58 Staggering | |
| 59 Feelings of panic or loss of control | |
| 60 Itching or crawling sensations of the skin | |
| 61 Loss of libido (sex drive) | |
| 62 Nausea | |
| 63 Gastrointestinal distress (stomach upset) | |
| 64 Phobias | |
| 65 Symptoms of paranoia | |
| 66 Nervous breakdown (or fear of) | |
| 67 Hot flushes | |
| 68 Rheumatics – generalised aches and pains |
| Score | |
| Total for items 01 – 17 | |
| Total for items 18 – 34 | |
| Total for items 35 – 51 | |
| Total for items 52 – 68 | |
| Grand Total |
You have now completed the test. Add each of the four subtotals individually and place the totals in the boxes provided above. Now add all four subtotals together to get your Grand Total and enter that into the box above.
Remember that a Total Score of 25 or more indicates that you are probably suffering from poor food choices and that a reassessment of your eating habits is suggested to enable you to reach an optimal level of health. No matter what your age.
You can find much more information on living a holistic lifestyle in these free magazines and on our YouTube channel.
David Lomman
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