Center For Natural Health - Symptom Worksheet

Welcome to The Center For Natural Health

Symptom Worksheet

Many individuals may experience many of the following symptoms, for long periods of time without obtaining any help in alleviating them from their health practitioners. The medical profession may ignore and overlook many of the these symptoms, until they progress to a point of being chronic. This in fact, is too late. They should be addressed as soon as possible and the cause should be understood and eliminated at the same time or the symptoms may return again.

Please check off and total for yourself what health imbalances you are experiencing at this time.

(Check off all that you are experiencing)

Fatigue
Headaches
Rashes, itching & flaky skin
Constipation
Diarrhea
Fewer than 2 bowel movements a day
Joint pain
Pain on a daily basis
Poor memory
Poor concentration
Irritability
Frequent mood swings
Depression
Dizziness or loss of balance
Burning or dry eyes
Recurrent infections
Muscle aches
Muscle weakness
Sore or dry throat
Cold hands or feet
Numbness of hands or feet
Constant thirst
Night sweats
Bad Breath
Congest
Post-nasal drip
Cough
Pain or tightness in chest

Heart palpitations
Abdominal pain
Swollen joints
Allergies
Bloating
Gain weight easily
Indigestion
Belching or intestinal gas
Hemorrhoids
Bruise easily
Rectal itching
Vaginal burning or itching
Loss of sexual desire
Painful periods
Urgency or urinary frequency
Burning on urination
Frequent backaches
Frequent urinary infections
Dark circles under eyes
Skin always pale
Insomnia
Don't feel rested after sleep
Crave sugar
Crave breads
Crave breads
Infertile
Athlete's foot
Slow healing

To experience optimal health call (603) 447-3070

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