Body Systems Survey

INSTRUCTIONS: Select only which apply to you.

MILD symptoms (occurred once or twice last 6 months).
MODERATE symptoms (occurred once or twice last month).
SEVERE symptoms (chronic, occurred once or twice last week).

Leave BLANK if they don't apply to you!

Goup Name	Percentage
Group 1:	{group153}
Group 2:	{group254}
Group 3:	{group3}
Group 4:	{group456}
Group 5:	{group557}
Group 6:	{group658}
Group 7A:	{group7a59}
Group 7B:	{group7b60}
Group 7C:	{group7c61}
Group 7D:	{group7d62}
Group 7E:	{group7e63}
Group 7F:	{group7f64}
Group 8:	{group865}
Female Group:	{femaleGroup}
Male Group:	{male}