Please select from the drop down menu.
Please select in centimetres from the drop down menu.
Please select your weight in kilograms from the drop down menu.
Please list any other health issues you would like to focus on. Please state your management of them so far in terms of operations / paracetamol / exercise etc. Also state the onset date and duration.
Please list anything you take regularly including GP prescribed medication, self prescribed medication (eg: painkillers) nutritional supplements, herbal or homeopathic remedies. Please also state the dose, condition being treated and the frequency or duration.
Conditions you regularly experience
Are you pregnant and if so which trimester are you in?
How many children have you had?
What form of contraception do you use?
How many bowel movements do you generally have in 24 hours?
Please select the colour of your stools.
Do you know of any foods which cause you digestive problems?
What time do you eat breakfast on a weekday / workday?
What time do you eat lunch on a weekday / workday?
What time do you eat dinner on a weekday / workday?
How much water do you drink per day?
Select the average number of cups of tea (with caffeine) per day.
Select the average number of coffees you drink per day.
How many depend on you for your support?
How many hours a week do you work?
How many hours a day are you sitting? Please remember that this includes driving / eating meals / screen time / possible work / public transport.
On average how many hours per week do you spend on a computer?
On average how many hours of sleep do you have per night?
What time do you generally go to bed?
What time do you generally wake up?
Do you drink alcohol? If so, how many units per week? To give you a rough guide: 1 pint of beer / 175ml glass of wine = 2.3 units. 125ml glass of champagne = 1.5 units. Single spirit = 2.5 units
What is your normal alcoholic drink?
Do you smoke? if so, how many a day?
Roughly what percentage of your food is organic?
Thanks for taking the time to complete our questionnaire. If you're happy with your answers please now click submit.