Do You Have Signs & Symptoms of Leaky Gut?
Take this quiz to find out.
Leaky Gut - Quiz (03-21-2020)
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Name
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First
Last
Email
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Are you currently taking any prescription medications or over-the-counter drugs like aspirin or ibuprofen?
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Yes
No
Do you have thyroid issues or sluggish metabolism?
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Yes
No
Do you have low energy or frequent fatigue?
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Yes
No
Do you have frequent diarrhea or loose stools?
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Yes
No
Do you have gas, bloating, or any other digestive issues once or more per week?
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Yes
No
Have you been diagnosed with autoimmune disease?
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Yes
No
Do you struggle with seasonal allergies?
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Yes
No
Are your bowel movements soft on a regular basis?
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Yes
No
Do you get sick often, meaning two or more times a year, and do you feel like you need a n immune system boost?
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Yes
No
Do you ever go more than one day without a bowel movement?
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Yes
No
Are your stress levels moderate to high?
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Yes
No
Do you have skin conditions like rosacea, eczema, acne, or rashes?
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Yes
No
Do you crave sweets or bread?
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Yes
No
Do you struggle with depression, anxiety, or lack of focus?
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Yes
No
Have you ever struggled with any type of candida, yeast, or fungal issues, or do you have a white coating on your tongue?
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Yes
No
Have you been diagnosed with ulcerative colitis, Crohn's Disease, or IBS?
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Yes
No
Do you suffer from any type of pain, including joint pain or headaches?
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Yes
No
Are you sensitive to gluten or dairy?
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Yes
No
Do you have an autoimmune disease like Hashimoto’s thyroiditis, psoriasis, or multiple sclerosis?
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Yes
No
Do you have multiple food sensitivities or food allergies (other than gluten or dairy)?
*
Yes
No
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