This test is a great place to start as you begin on your journey to achieve better health and wellbeing! It is also a great place to come back to as it allows you to see how far you have come!

 

This test is by no means scientific or perfect but it is a really great resource to enable you to see where you are at in terms of your lifestyle. From this you may be able to identify where you want to make changes first, how bad or how good your lifestyle is right now as well as prompting you to areas of possible interest.

I suggest that you print this page off and then take the time to work your way through it. Make notes, highlight areas that need work, and then visit the different areas on the previous page for lots of information on how to start improving your scores! You can also click onto the practitioners button to find a professional that can help you on your journey. I would always suggest that you find a professional to work with where possible, however there is lots of useful information available for you to enable you to help you achieve a healthier and more fulfilling lifestyle.

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Basic Awareness Test

Rate your current lifestyle from 1 (Poor) to 10 (Super Great) in the following areas:

NUTRITION                    1  2  3  4  5  6  7  8  9  10

EXERCISE                       1  2  3  4  5  6  7  8  9  10

SLEEP                             1  2  3  4  5  6  7  8  9  10

REST TIME                      1  2  3  4  5  6  7  8  9  10

MENTAL HEALTH           1  2  3  4  5  6  7  8  9  10

TOXIC LOAD                    1  2  3  4  5  6  7  8  9  10

SOCIAL TIME                   1  2  3  4  5  6  7  8  9  10

MEDICAL CARE               1  2  3  4  5  6  7  8  9  10

(Medical Care - Do you carefully choose who provides you with your medical care, what are the side effects, can something else more natural be an alternative solution. Therefore 10 is you always make a careful decision as to whether western medicine is right for you by always looking for more natural alternatives and 1 is that you just go for what the doctor tells you and are not even aware there are alternatives)

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In-Depth Awareness Test

PERSONAL DETAILS

ADDRESS         _____________________

AGE                 _____________________

GENDER          _____________________

ETHNICITY      _____________________

OCCUPATION  _____________________

WEIGHT            _____________________

HEIGHT             _____________________

PREGNANT      _____________________

HEALTH PROFILE

CONDITIONS & DISEASES THAT RUN IN YOUR FAMILY HISTORY

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WHAT CONDITIONS, DISEASES, ILLNESSES DO YOU HAVE OR HAVE HAD, HOW LONG DID/HAS IT LAST/ED AND HOW BAD WAS/IS IT? 

(EG, BROKEN BONES, TONSILLITIS, CHICKEN POX, ETC)

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WHAT IMMUNISATIONS HAVE YOU HAD?

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HAVE YOU HAD ANY DENTAL WORK? WHAT WAS IT?

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HAVE YOU HAD ANY OPERATIONS? WHAT WERE THEY? WHEN WERE THEY?

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WHAT MEDICATIONS HAVE YOU TAKEN IN THE PAST? (DOSAGE, HOW LONG)

[Such as: antacids, antibiotics, anticonvulsants, antidepressants, antifungals, aspirin, ibuprofen, inhaler, beta blockers, chemotherapy, cortisonediabetic medications, diuretics, estrogen, progesterone, heart medications, blood pressure medications, hormone therapy, laxatives, insulin, oral/implant contraceptives, radiation exposure, recreational drugs, relaxants, sleeping pills, thyroid medication, tylenol, acetaminophen, ulcer medications]

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WHAT MEDICATIONS DO YOU TAKE NOW? (DOSAGE, HOW LONG)

 

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WHAT IS YOUR BLOOD PRESSURE? HAS IT CHANGED OVER TIME?

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HAVE YOU HAD ANY CHILDREN? IF SO HOW MANY?

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DO YOU OR DID YOU SMOKE? WHAT DO/DID YOU SMOKE? HOW MUCH? FOR HOW LONG?

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HOW OFTEN DO YOU EXERCISE? HOW DO YOU EXERCISE?

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HOW OFTEN AND HOW LONG DO YOU RAISE YOUR HEART RATE A WEEK?

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DO YOU EAT MEAT? HOW OFTEN, WHAT TYPE AND HOW MUCH DO YOU EAT?

 

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HOW MANY UNITS OF ALCOHOL DO YOU CONSUME A DAY?

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HOW MANY UNITS OF ALCOHOL DO YOU CONSUME A WEEK?

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HOW MANY TEASPOONS OF SUGAR DO YOU HAVE A DAY? HOW MUCH PER WEEK?

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HOW MANY TEASPOON OF SALT DO YOU HAVE A DAY? HOW MUCH PER WEEK?

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DO YOU LIVE IN A CITY OR NEXT TO BE BUSY ROAD?

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HOW LONG DO YOU SPEND IN OR NEAR TRAFFIC EVERYDAY?

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WHAT PERCENTAGE OF YOUR WEEKLY FOOD INTAKE IS ORGANIC?

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WHAT PERCENTAGE OF YOUR WEEKLY WATER INTAKE IS FILTERED?

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HOW MANY HOURS A DAY ARE YOU LOOKING AT A SCREEN?

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HOW MANY HOURS A DAY DO YOU SPEND SAT DOWN?

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HAS YOUR ENERGY INCREASED OR DECREASED COMPARE TO HOW IT USE TO BE?

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DO YOU FEEL GUILTY FOR RESTING, SLEEPING, RELAXING OR HAVING LEISURE TIME?

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DO YOU HAVE A PERSISTENT NEED FOR ACHIEVEMENT?

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ARE YOU CLEAR ABOUT YOUR LIFE GOALS?

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ARE YOU PARTICULARLY COMPETITIVE?

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DO YOU WORK HARDER THAN MOST PEOPLE?

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DO YOU CONSIDER YOURSELF AS SPONTANEOUS?

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DO YOU HAVE HIGH EXPECTATIONS?

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ARE YOU IMPATIENT/IMPATIENT IN CERTAIN SITUATIONS?

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DO YOU USE SOMETHING TO GET YOU GOING IN THE MORNING?

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DO YOU USE SOMETHING TO HELP GET YOU TO SLEEP?

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DO YOU CHEW YOUR FOOD THOROUGHLY?

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DO YOU HAVE DIFFICULTY DIGESTING CERTAIN FOODS? (WHAT ARE THEY?)

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NUMBER YOUR STOOLS USING THE BRISTOL STOOL CHART

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DO YOU HAVE ANY INTOLERANCES OR ALLERGIES? (DESCRIBE)

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HAVE YOU RECENTLY EXPERIENCED ANY MAJOR PERSONAL LOSS?

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WHAT FOOD OR DRINK WOULD YOU STRUGGLE TO GIVE UP?

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ARE YOU PREGNANT? HOW MANY WEEKS?

 

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ARE YOU TRYING FOR A BABY? HOW LONG HAVE YOU BEEN TRYING?

 

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HAVE YOU HAD OR EVER HAD A MISCARRIAGE?

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ARE YOU ON BIRTH CONTROL?

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ARE YOU PRE-PUBERTY, AT PUBERTY, POST PUBERTY, PERIMENOPAUSAL, MENOPAUSAL, POST-MENOPAUSAL?

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WERE YOU BREAST FED?

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WERE YOU BORN VIA C-SECTION?

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DESCRIBE YOU CHILDHOOD DIET?

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HOW OFTEN AND WHAT TYPE OF READY MEALS OR FAST FOODS DO YOU EAT IN A WEEK?

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HOW MANY SERVINGS OF FRUIT DO YOU EAT A DAY?

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HOW MANY SERVINGS OF VEGETABLES DO YOU EAT A DAY?

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DO YOU WASH YOUR FRUIT AND VEG BEFORE EATING IT?

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HOW MANY TIMES A DAY DO YOU EAT CHOCOLATE, SWEETS, BISCUITS, CAKE?

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HOW MANLY ML OF FIZZY OR HIGH SUGAR DRINKS DO YOU HAVE A DAY?

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DO YOU EAT AND DRINK ANYTHING THAT CONTAINS SWEETENERS? IF SO WHAT ARE THEY?

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DO YOU CONSUME LOTS OF CANNED GOODS?

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DO YOU FREQUENTLY EAT UNDER STRESS, ON THE MOVE OR WHILE DOING SOMETHING ELSE?

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HOW MANY GLASSES OF WATER DO YOU DRINK A DAY?

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HOW OFTEN DO YOU EAT LIVE YOGHURT OR FERMENTED FOOD?

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HOW OFTEN DO YOU EAT FISH? WHAT TYPES?

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DO YOU NORMALLY EAT WHITE RICE, PASTA,BREAD, ETC?

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HOW MANY PINTS OF MILK DO YOU DRINK PER WEEK?

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WHAT OIL DO YOU COOK WITH?

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HOW MANY MEALS DO YOU EAT A DAY?

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ARE YOU SENSITIVE TO ANY CHEMICALS?

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WHAT IS YOUR FREQUENCY OF BOWEL MOVEMENTS?

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IS IT PARTICULARLY PAINFUL TO PRESS ON ANY PART OF YOUR BODY?

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YOUR CURRENT HEALTH CONCERNS & THEIR DURATIONS

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DOES ANYTHING YOU DO RIGHT NOW HELP WITH THESE CONCERNS

(EG LYING DOWN, MOISTURISER, GOING ON HOLIDAY, ETC)

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DOES ANYTHING YOU DO RIGHT NOW WORSEN THESE CONCERNS

(EG LACK OF SLEEP, CERTAIN PRODUCTS, CERTAIN PLACES, FOOD, ETC)

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SYMPTOMS TRACKER

ARE YOU AFFECTED BY ANY OF THE FOLLOWING?

(TICK, HIGHLIGHT, UNDERLINE, ETC)

MOUTH ULCERS

TOOTH DECAY

MOUTH OVER SENSITIVE TO HOT AND COLD

BLEEDING GUMS

BAD BREATH

TENDER GUMS

TEETH GRINDING

STORE TONGUE

CRACKED LIPS

EXCESSIVE THIRST

TOOTH DECAY

DRY MOUTH, NOSE, EYES

COATED TONGUE

POOR SENSE OF TASTE

POOR SENSE OF SMELL

STUFFY NOSE

GAG EASILY

BITTER TASTE IN MOUTH

COLD SORES

NASAL PROBLEMS

FACIAL PUFFINESS

POOR NIGHT VISION

EYE PAIN

BURNING EYES

GRITTY EYES

SENSITIVE TO BRIGHT LIGHTS

CATARACTS

DRY EYES

DULL HAIR

OILY HAIR

POOR HAIR CONDITION

HAIR LOSS

EXCESS BODY HAIR

PREMATURELY GREYING HAIR

PREMATURE AGING

WHITE MARKS ON FINGER NAILS

ACNE

DARK CIRCLES UNDER EYES

GREASY SKIN

RED PIMPLES ON SKIN

PREMENSTRUAL ISSUES

POST MENSTRUAL ISSUES

BREAST PAIN

HEAVY PERIODS

IRREGULAR PERIODS

BLOOD LOSS

FREQUENT COLDS

FREQUENT INFECTIONS

DRY FLAKY SKIN

STRETCH MARKS

PALE SKIN

ECZEMA

DERMATITIS

DANDRUFF

THRUSH

FUNGAL INFECTION

CYSTITIS

SPLIT OR POOR QUALITY NAILS

EXCESSIVE SWEATING

EASY BRUISING

SLOW WOUND HEALING

NOSE BLEEDS

EXCESSIVE SWEATS

COLD SWEATS

STRONG SMELL OF SWEAT

VARICOSE VEINS

ANAL IRRITATION

DIARRHOEA

PARASITES

HEMORRHOIDS

STOMACH PAINS

STOMACH UPSETS

BURNING SENSATION IN STOMACH

CONSTIPATION

SLUGGISH METABOLISM

FAST METABOLISM

SLEEPY AFTER MEALS

IRRITABLE BOWEL SYNDROME (IBS)

EXCESSIVE FLATULENCE

POTENT FLATULENCE

EXCESSIVE BELCHING

UNDIGESTED FOOD IN STOOLS

BLACK OR TARRY STOOLS

NAUSEA

VOMITING

WATER RETENTION

DIFFICULTY SWALLOWING

LUMP IN THROAT

POOR APPETITE

SENSE OF EXCESSIVE FULLNESS AFTER MEALS

DIZZINESS WITHOUT FOOD FOR 6 HOURS

IRRITABILITY WITHOUT FOOD FOR 6 HOURS

NEED FOR FREQUENT MEALS

NEED FOR SWEET FOODS

ARTHRITIS

HEADACHES

MIGRAINES

DIZZINESS

POOR SENSE OF BALANCE

MIGRAINES

BACK ACHE

MUSCLE CRAMPS

BREAST TENDERNESS

ROUGH SKIN

SPASMS

JOINT PAIN

STIFFNESS

LOSS OF MUSCLE TONE

TENDER MUSCLES

SORE MUSCLES

PRICKLY LEGS

TINGLY HANDS

MUSCLE TREMORS

BURING FEET

TENDER HEELS

ITCHY FEET

STOMACH PAINS

RASH

MUSCLE TWITCHES

GROWING PAINS

SORE KNEES

COLD HANDS

GROWTHS OR LUMPS

POOR MEMORY

POOR CONCENTRATION

IRRITABILITY

ANXIETY

TENSION

APATHY

HYPERACTIVITY

DEPRESSION

NERVOUSNESS

LACK OF SEX DRIVE

STRONG SEX DRIVE

INFERTILITY

LOW FERTILITY

EXHAUSTION AFTER LIGHT EXERCISE

LACK OF ENERGY

RAPID HEART BEAT

HIGH BLOOD PRESSURE

IRREGULAR HEART BEAT

FITS

CONVULSIONS

INSOMNIA

INFREQUENT DREAM RECALL

NEED FOR EXCESSIVE SLEEP

DROWSINESS DURING DAY

BIZARRE OR VIVID DREAMS

DO YOU FEEL AWAKE UPON RISING

HIGH PAIN TOLERANCE

LOW PAIN TOLERANCE

TRAVEL OR MOTION SICKNESS

FEELING SPACEY OR UNREAL

DOUBLE JOINTED

POPPING OR CLICKING JOINTS
 

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