Oxidative Stress and Chronic Illness Quiz

Oxidative Stress and Chronic Illness Quiz

This quiz is to help you discover if oxidative stress explains your symptoms better than your current diagnosis, which is why you are not getting better treating your diagnosis instead of the underlying cause.
Full Name*

First NameLast Name
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
Location
If you have any medical diagnoses, list them here:
Has being diagnosed helped you to successfully resolve your symptoms?

YesNoWorse now
Do you experience frequent fatigue?*

YesNo
Which of the following symptoms do you experience?*

Joint painMuscle weaknessHeadachesDigestive issuesSkin problemsFatigueDizzinessHistamine/allergiesMucousShortness of breathBlood sugar issuesDepressionAnxietyOther
List any digestion problems you experience:

ConstipationDiarrheaHeartburnIndigestionNauseaPainBleedingFlatulenceOther
Do you have food sensitivies?

GlutenDairySugarNightshadesOther
If "other" symptoms, digestion problems or food sensitivities, please list them here:
Do you experience "flare ups"?*

YesNo
Do you know what causes your flare ups?

YesNoNot sure
What do you think causes your flare ups? (Answer NA if not sure or no flare ups)
Are you mold sensitive?

YesNoMaybe
Are you EMF sensitive?

YesNoMaybe
Have you ever done any of the following:

Taken birth control or other hormonesTaken a multivitamin or prenatalTaken a vitamin D supplementTaken a steroid drug orally or topicallyBeen treated for anemiaBeen pregnantBeen on a plant-based, vegetarian or vegan dietBeen on a low-carb, keto, or carnivore dietDone intermittent fastingBeen considered overweight or obeseTaken psychiatric drugsBeen diagnosed with an eating disorder
Should be Empty: