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Dietary Survey Questionnaire

4 Steps in Healing the Gut


Our diets are probably the most important controllable factor when it comes to our health. Unfortunately, changing our diets can be the most difficult thing to do. A lifetime of habits seem to control us and it often takes the discipline of a Tibetan Monk to make changes that stick.

One of the best ways to analyze dietary influence is to simply take a closer look. This survey (below) will help us do just that. Dr. Conners often recommends further Functional tests to fully measure sensitivities, but let's start with just the survey.

If you've been directed to this page by Dr. Conners or one our our Practitioners, please complete the on-line form below and hit SUBMIT at the end for us to review it. Thanks!

More Videos on Diet and GUT Health:

Why Do We Have Sensitivities to Foods Like Gluten?
Unbalanced Flora In the Intestines Causes Disease
Genetics - Gut Health

Dietary - Daily Record of Food Intake

Have Questions?

That’s okay, we’re here to guide you on your journey.

Conners Clinic is located on 8519 Eagle Point Blvd #170, Lake Elmo. From Minneapolis−Saint Paul International Airport (MSP) head southwest and continue onto Green Ln. Then keep right and slight right onto Glumack Dr. Next, keep right to stay on Glumack Dr and keep right at the fork and merge onto MN-5 W. After that merge onto MN-5 W and take the exit onto I-494 E. Take exit 58B to merge onto I-94 E toward Madison and take exit 250 for Radio Dr/Inwood Ave toward Washington County 13. Then use the left 2 lanes to turn left onto Inwood Ave N/Radio Dr. Finally, turn right onto Eagle Point Blvd, turn left at Eagle Point Cir and Conners Clinic will be on your right.

We are open Monday-Thursday 8:00am-6:00pm & Friday 8:00am-2:00pm
For additional questions you can call us at (651) 739-1248

Google Maps Quick Links: Conners Clinic | Lake Elmo | Minneapolis−Saint Paul International Airport

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