Organic Herbal Colon Cleanse Australia

Parasites Questionnaire

A= symptom never occur

B= symptom occur occasionally

C= symptom occur often

D= symptom occur most of the time

Name	B	C	D
1.Chronic Fatigue?	1	2	3
2.Unexplained Weight Loss?	1	2	3
3.Always Feel Hungry?	1	2	3
4.Eat Raw Fish?	1	2	3
5.Anemic?	1	2	3
6.Diarrhea?	1	2	3
7.Feeling sick?	1	2	3
8.Lower Stomach Pain?	1	2	3
9.Stomach Bloating?	1	2	3
10.Flatulence/Gas?	1	2	3
11.Hives?	1	2	3
12.Pet Owner?	1	2	3
13.No appetite?	1	2	3
14.Frequent Overseas Travel?	1	2	3
15.Upper Abdominal Bloating?	1	2	3
16.Constipation?	1	2	3
17.Intermittent Constipation and Diarrhea?	1	2	3
18.Abdominal Cramps or Pain?	1	2	3
19.Inflammatory Bowel Disease (IBD)?	1	2	3
20.Drinking Tank Water?	1	2	3
21.Teeth-grinding?	1	2	3
22.Food Intolerances?	1	2	3
23.Previous Parasitic Infections?	1	2	3
24.Intestinal Yeast Growth (Candida)	1	2	3
25.Travelled in tropical or subtropical regions of the world?	1	2	3
26.Body Aches - Flu Like symptoms?	1	2	3
27.Headaches or Migraine?	1	2	3
28.Painful eyes reduced vision, blurred vision?	1	2	3
29.Sore Throat?	1	2	3
30.Gastrointestinal problems	1	2	3