Self-Assessment: General Health

  1. Do you feel that your health has gotten worse over the past two years?
  2. Have you lost or gained more than 10 percent of your body weight over the past five years—even though you weren’t intentionally dieting?
  3. Do you have trouble going to sleep or staying asleep?
  4. Does pain in your joints or muscles limit your physical activity or mobility?
  5. Do you commonly feel fatigued for no apparent reason?
  6. Are you frequently depressed or anxious?
  7. Do you have problems with memory?
  8. Is there a consistent ringing in your ears?
  9. Do you feel that you are losing your strength?
  10. Do you take more than two prescription medications?
  11. How about over-the-counter medications? Do you commonly take any of these:
    • Anti-inflammatories
    • Antacids
    • Analgesics
    • Sleeping remedies
  12. Do you suffer from allergies?
  13. Do you occasionally have episodes of poor concentration or confusion?
  14. Do you commonly suffer from shortness of breath or feel “winded”?
  15. Have you lost any of your sense of taste or smell over the past few years?
  16. Do you feel that you have lost significant amount of muscle mass over the past few years?
  17. Have you heard from your doctor that you have any of the following?
    • Elevated blood pressure
    • Elevated blood cholesterol
    • Elevated blood glucose
  18. Has your dentist told you that you have gum or periodontal disease?
  19. Do you frequently alternate between constipation and diarrhea or feel pain or discomfort in your digestive area?
  20. Have you been told that you have chronic “bad breath”?
  21. Are you shorter than you used to be or have you had any evidence of calcium deposits?
  22. Do you catch every cold and flu that’s going around?
Core Process Imbalance Indicator
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