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Toxicity Questionnaire

While it may be true that all of us are toxic to some extent, many of us are bothered more by environmental poisons and many are either exposed to more or cannot easily detox chemicals, making them more likely to develop disease.

This survey, coupled with Functional Medicine labs and Genetic testing, can help determine one's toxic load, the genetic ability to handle such exposure, and the possible ill-effects one may be experiencing from such load.

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!

 

 

 

Toxicity Questionnaire

  • Key:

    0 = Rarely or Never Experience the Symptom. 1 = Occasionally Experience the Symptom, Effect is Not Severe. 2 = Occasionally Experience the Symptom, Effect is Severe. 3 = Frequently Experience the Symptom, Effect is Not Severe. 4 = Frequently Experience the Symptom, Effect is Severe.

Have questions?

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

  • This field is for validation purposes and should be left unchanged.