5E Tox Quiz

POINT SCALE
0 = Never or almost never have the symptom
1 = Occasionally have it, effect is not severe
2 = Occasionally have, effect is severe
3 = Frequently have it, effect is not severe
4 = Frequently have it, effect is severe
DIGESTIVE TRACT Score EARS Score
Nausea or vomiting Itchy ears
Diarrhea or loose stool Earaches, ear infections
Constipation Drainage from ear
Bloated feeling Ringing in ears
Belching/passing gas through anus hearing loss
Heartburn Total 0
Intestinal/Stomach pain
Total 0

HEART Score HEAD Score

Irregular or skipped heartbeat Headaches
Rapid or pounding heartbeat Faintness
Chest pain Dizziness
Total 0 Insomnia
Total 0

JOINTS/MUSCLES Score EMOTIONS Score

Pain or aches in joints Mood swings
Arthritis Anxiety, fear or nervousness
Stiffness or limitation of movement Anger, irritability, or aggressiveness
Pain or aches in muscles Depression
Feeling of weakness or tiredness Total 0
Total 0

LUNGS Score ENERGY/ACTIVITY Score

Chest congestion Fatigue, sluggishness
Asthma, bronchitis Apathy, lethargy
Shortness of breath Hyperactivity
Difficult breathing Restlessness
Total 0 Total 0

MIND Score EYES Score

Poor memory Watery or itchy eyes
Confusion, poor comprehension Swollen, reddened or sticky eyelids
Poor concentration Bags or dark circles under eyes
Poor physical coordination Blurred or tunnel vision (does not include near-or far-sightedness)
Difficulty in making decisions Total 0
Stuttering or stammering
Slurred speech
Learning disabilities
Total 0

MOUTH/THROAT Score SKIN Score

Chronic coughing Acne
Gagging, frequent need to clear throat Hives, rashes, or dry skin
Sore throat, hoarseness, loss of voice Hair loss
Swollen/discolored tongue, gum, lips Flushing or hot flushes
Mouth Ulcer Excessive sweating
Total 0 Total 0

NOSE Score WEIGHT Score

Stuffy nose Binge eating/drinking
Sinus problems Craving certain foods
Hay fever Excessive weight
Sneezing attacks Compulsive eating
Excessive mucus formation Water retention
Total 0 Underweight
Total 0

OTHER Score
Frequent illness
Frequent or urgent urination
Genital itch or discharge
Total 0

Your Score 0
How to interpret the score Score
Optimal <10
Mild 10 to 50
Moderate 50 to 100
Severe >100