• Female -Metabolic Body Type Survey

    section #1

  • Answer the questions below with either 0,1,2 or 3

    ▶️ 0- Never
    ▶️ 1- Mild / rarely occurring
    ▶️ 2- Moderate / regularly occurring
    ▶️ 3- Severe / often occurring


  • Anxiety?
  • Depression?
  • Frequent Urination?
  • Poor Memory?
  • Irritability?
  • Poor Sleep?
  • Lack of joy or enthusiasm?
  • Headache?
  • Fidgety?
  • Picking at skin or nails?
  • Hard time concentrating?
  • Sighing?
  • Jaw pain or teeth grinding?
  • Muscle weakness?
  • Muscle cramps?
  • Stiff neck?
  • Weight gain around midbody?
  • Facial swelling?
  • Unbalanced blood pressure, either too high or too low?
  • Sensitivity to light?
  • Shaking hands?
  • Fatigue throughout the day?
  • Blurred vision?
  • Allergies worsening?
  • Intolerance to cold?
  • Joint pain?
  • Frequent dehydration?
  • Nausea?
  • Frequent constipation?
  • Excessive gas and bloating?
  • Irritability when hungry?
  • Regular heartburn?
  • Irregular stool?
  • Salt cravings?
  • Caffeine needed in the morning?
  • Metabolic Typing Survey

    section #2
  • 1. What would you consider your main food cravings?
  • 2. Cellulite, where if any is it located?
  • 3. Looking from the back most of your extra weight is:
  • 4. How many caffeinated coffees, teas, or colas do you drink in each day?
  • 5. Which is your most typical small health problem?
  • 6. Do you have any of these larger health problems?
  • 7. My personality …
  • 8. Which best describes myself
  • 9. When you’re “down” you’re
  • 10. Which best describes your temper?
  • 11. Your chest and breast are:
  • 12. After performing the nasal cycle test, which nostril is your dominant one, left or right nostril? (your dominant nostril is the one air flows through easily)
  • Image field 212
  • 13. Your face is
  • 14. Viewing yourself from the back, which best describes your shape?
  • Should be Empty: