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Detoxification System Health

Are your eyes sensitive to bright light?
Yes
No
Do you suffer from irritability and have difficulty relaxing?
Yes
No
Do you often feel fatigued and sluggish?
Yes
No
Do you suffer from frequent headaches?
Yes, once a week
Yes, 3 or more per week
No
Do you have dark circles and/or puffiness under eyes?
Yes, once a week
Yes, 2-3 times per week
Yes, more than 3 times per week
No
Are you sensitive to perfumes, paint fumes, traffic fumes, detergents or cigarette smoke?
Yes, mildly
Yes, moderately
Yes, very
No
Have you been unable to lose cellulite with diet and/or exercise?
Yes
No
Are you currently, or have you in the past, been frequently exposed to industrial or agricultural chemicals, such as solvents, cleaning fluids, paint fumes, plant sprays and fertilizers?
Yes, brief exposure
Yes, more than once per week
Yes, daily
No
Do you experience mental sluggishness, poor memory or poor concentration?
Yes, 1-2 times per week
Yes, 3 times per week
Yes, more than 3 times per week
No
Do you suffer from skin reactions such as rashes, itching or burning, for which the cause is unknown?
Yes, 1-2 times per month
Yes, 3 times per month
Yes, more than 3 times per month
No
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