Biotics Research MSQ Questionnaire

POINT SCALE
0 = Never or almost never have the symptom
1 = Occasionally, effect is not severe
2 = 0ccasionally, effect is severe
3 = Frequently, effect is not severe
4 = Frequently, effect is severe

POINT SCALE
0 = Never or almost never have the symptom
1 = Occasionally, effect is not severe
2 = 0ccasionally, effect is severe
3 = Frequently, effect is not severe
4 = Frequently, effect is severe

POINT SCALE
0 = Never or almost never have the symptom
1 = Occasionally, effect is not severe
2 = 0ccasionally, effect is severe
3 = Frequently, effect is not severe
4 = Frequently, effect is severe

KEY TO QUESTIONNAIRE

Optimal is less than 10
Mild Toxicity: 10-50
Moderate Toxicity: 50-100
Severe Toxicity: over 100

The Toxicity and Symptom Screening Questionnaire identifies symptoms that help to identify the underlying causes of illness, and helps you track your progress overtime. Rate each of the following symptoms based upon your health profile for the past 30 days. If you are taking after the first time, record your symptoms forthe last 48 hours ONLY.