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Adrenal Exhaustion Scored Survey

Click here to find out what's inside "Optimal Wellness"

TAKE THE ADRENAL SCORED SURVEY NOW!

Rate the occurrence of each symptom according to the scale below, them calculate your total score.

SYMPTOM RATING SCALE
0 = NEVER
1 = SELDOM
2 = OCCASIONALLY
3 = FREQUENTLY
4 = INFREQUENTLY WITH SEVERE SYMPTOMS
5 = ALMOST ALWAYS

___ Fatigue
___ Exhaustion
___ Nervousness, irritability, anxiety
___ Depression
___ Inability to concentrate
___ Poor memory
___ Hypoglycemia (especially if resistant to normal
        measures or requiring persistent attention)
___ Cravings for sweets
___ Premenstrual symptoms (especially if resistant to
       normal measures or requiring persistent attention)
___ Always feel cold (abnormally low body temperature)
___ Less than normal perspiration
___ Food and other allergies
___ Low blood pressure
___ Lightheadedness on standing up
___ Headaches
___ Difficulty overcoming infections
___ Slow recovery from any kind of stress (exercise, overwork,
       mental strain, inadequate sleep, emotional trauma, injury, surgery)
___ Severe or recurrent stresses


Total Score:___

Scores in the range of 1-10 may indicate a mild imbalance.
Scores in the range of 11-20 may indicate a moderate imbalance.
Scores in the range of 21-34 may indicate a severe imbalance.
Scores in the range of 35 and over may indicate a critical imbalance.

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