Detoxification Symptom Questionnaire

Rate each of the following symptoms based on your typical health profile over the past 30 days. There are no right or wrong answers — simply select the number that best describes your experience.

Scoring Scale

  • 0 Never or almost never have the symptom
  • 1 Occasionally have it, effect is not severe
  • 2 Occasionally have it, effect is severe
  • 3 Frequently have it, effect is not severe
  • 4 Frequently have it, effect is severe

For each symptom below, choose the number that best describes how often you experience it and how severe it is. Section and grand totals update automatically.

Symptoms: Part 1

Symptoms: Part 2

Symptoms: Part 3

Symptoms: Part 4

Symptoms: Part 5

Your Results

This questionnaire is for informational purposes only and is not medical advice or a diagnosis. If you have concerning symptoms, consult a qualified healthcare professional.