Toxicity Self Test

Rate each of the following symptoms on a scale from 0 to 5 (5 being the most severe) based on the past 30 days. Read more from Dr. Wells about detoxification.

__ Diarrhea

__ Constipation

__ Belching, passing gas

__ Bloated feeling

__ Heartburn

__ Total

__ Itchy ears

__ Earaches / infection

__ Ringing in ears

__ Hearing loss

__ Total

__ Mood swings

__ Anxiety, fear nervousness

__ Anger, irritability

__ Depression

__ Total

__ Fatigue, sluggishness

__ Apathy, lethargy

__ Hyperactivity

__ Restlessness

__ Total

__ Watery, itchy eyes

__ Swollen, reddened, or sticky eyelids

__ Dark circles under eyes

__ Blurred or tunnel vision

__ Total

__ Headaches

__ Faintness

__ Dizziness

__ Insomnia

__ Total

__ Skipped heartbeats

__ Rapid heartbeats

__ Chest pain

__ Total

__ Frequent illness

__ Frequency or urgent need to urinate

__ Total

__ Pain or aches in joints

__ Stiffness, limited movement

__ Pain, aches in muscles

__ Weakness in muscles

__ Total

__ Chest Congestion

__ Asthma, bronchitis

__ Shortness of breath

__ Difficulty breathing

__ Total

__ Poor memory

__ Poor concentration

__ Difficulty making decisions

__ Stuttering, stammering

__ Learning disabilities

__ Total

__ Stuffy nose

__ Sinus problems

__ Sneezing attacks

__ Excessive mucus

__ Total

__ Chronic coughing

__ Gagging, frequent need to clear throat

__ Sore throat, hoarseness

__ Swollen, discolored tongue, gums, or lips

__ Canker sores

__ Total

__ Acne

__ Hives, rashes, dry skin

__ Flushing or hot flashes

__ Excessive sweating

__ Total

__ Binge eating/drinking

__ Craving certain foods

__ Excessive weight

__ Compulsive eating

__ Water retention

__ Underweight

__ Total

A Grand Total score of 25 or higher—or a Section Total of 10 or higher, indicates increased toxicity…