Decode Your Body: Comprehensive Lifestyle Analysis

Do you struggle with frequent ill health (once/twice yearly)

Do you experience body odour and/or bad breath

Do you have difficulty digesting certain foods

Do you eat red meat at least twice weekly

Are you experiencing problems with monthly cycle (female)

Have you been prescribed antibiotics in the last 3 years

Have you any known food allergies, sensitivities or intolerances

Are you experiencing dark circles under eyes

Are you experiencing poor concentration or memory

Do you react to environmental factors (e.g. mould, damp, air conditioning)

Do you experience any discomfort after eating (e.g. bloating, gas, acid reflux)

Do you consume dairy products regularly (e.g. milk, cheese)

Are you experiencing digestive bloating, gas, burping

Do you experience difficulty losing weight

Do you suffer with frequent constipation or diarrhoea

Are you experiencing itchy or irritated skin (e.g. hives, eczema, psoriasis) 

Do you have any menopausal concerns (women only)

Do you regularly eat foods high in unhealthy fats (e.g. fried foods, pastries, processed meats)?

Do you have difficulty in maintaining an ideal weight

Do you have poor eating habits (skipping meals, overeating, irregular eating)

Do you have a low fibre diet (not eating enough plant based foods)

Do you experience sleepiness when sitting

Do you drink 2+ cups of tea, coffee, fizzy drinks a day

Do you experience yeast or fungal issues (e.g., athlete’s foot, thrush)

Do you get less than 1 day of exercise per week

Do you experience congestion or mucus issues (e.g., blocked nose, coughing with sputum)

I acknowledge that the completion of this form is for lifestyle analysis purposes only and does not replace professional medical advice, diagnosis, or treatment.

I am happy to receive marketing materials and health updates.

Decode Your Body: Comprehensive Lifestyle Analysis

Your Key To Optimum Health

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Date of Assessment