Symptom Pattern Survey
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This is a self-audit, not a diagnosis. Score each item 0–3 based on the last 30 days.
0 = Never / not present
1 = Occasional or mild
2 = Frequent or clearly noticeable
3 = Persistent, strong, or regularly interferes with normal life
Items marked with an asterisk (*) can signal a serious or urgent condition. Do not wait for your survey score. If any asterisked symptom is new, sudden, severe, or worsening, seek medical attention promptly. Chest pain or pressure, pain spreading into the arm or jaw, or sudden shortness of breath require emergency care. Call 911.
Adrenal / Stress Pattern0/63 · 0%
- Weakness, dizziness upon rising
- Fatigue
- Low blood pressure
- Nails weak or ridged
- Tendency to hives
- Arthritic tendency
- Perspiration increase
- Bowel disorder
- Poor circulation
- Swollen ankles
- Crave salt
- Crave sugar
- Light sensitivity – need sunglasses
- Hot flashes
- Loss of bodily hair
- Skin discoloration
- Brown spots or bronzing of the skin
- Allergies, a tendency to asthma
- Weakness after colds, influenza
- Exhaustion, muscular or nervous
- Respiratory disorder (e.g., asthma)
Anxiety / Sympathetic0/87 · 0%
- Acid foods upset
- Get chilled often
- “Lump” in the throat
- Dry mouth-eyes-nose
- Pulse speeds after meals
- Keyed up; fail to calm
- Cuts heal slowly
- Gag easily
- Unable to relax / tense muscles
- Excessive worrying
- Feeling agitated
- Restlessness
- Excessive fatigue
- Difficulty concentrating
- Irritability
- Insomnia, falling or staying asleep
- Panic attacks
- Avoiding social situations
- Irrational fears
- Extremities cold, clammy
- Strong light irritates
- Urine amounts reduced
- Heart pounds after eating
- Nervous stomach
- Appetite reduced
- Cold sweats often
- Fever easily raised
- Neuralgia-like pains
- Staring, blinks little
Digestion / Parasympathetic0/66 · 0%
- Sour stomach frequent
- Joint stiffness after arising
- Muscle, leg, toe cramps at night
- “Butterflies” in stomach
- Eyes or nose watery
- Eyes blink often
- Eyelids swollen
- Indigestion soon after meals
- Always feels hungry; lightheaded often
- Digestion rapid
- Vomiting frequent*
- Hoarseness frequent
- Breathing irregular
- Pulse slow, feels irregular*
- Gagging reflex slow
- Difficulty swallowing*
- Constipation/diarrhea alternating
- “Slow starter”
- Get chilled frequently
- Perspire easily
- Circulation poor, sensitive to cold
- Subject to colds, asthma, bronchitis
Blood Sugar0/42 · 0%
- Eat when nervous
- Excessive appetite
- Hungry between meals
- Irritable between meals
- Get shaky if hungry
- Fatigue, eating relieves
- Lightheadedness if meals delayed
- Heart palpitates if meals are missed or delayed
- Afternoon headaches
- Overeating sweets upsets
- Awaken after a few hours of sleep; insomnia
- Crave candy or coffee in the afternoon
- Moods of depression, blues, or melancholy
- Abnormal craving for sweets or snacks
Heart / Cardiovascular0/60 · 0%
- Hands and feet go to sleep easily
- Sigh frequently, “air hunger”
- Aware of breathing heavily
- High altitude discomfort
- Opens a window in a closed room
- Susceptible to colds and fever
- Afternoon yawner
- Get drowsy often
- Swollen ankles worse at night
- Muscle cramps worse with exercise
- Charley horse
- Shortness of breath with exertion*
- Dull pain in the chest or radiating into the left arm*
- Pain in the jaw*
- Bruise easily; black/blue spots
- Tendency to anemia
- Men – erectile dysfunction
- Nosebleeds frequently
- Ringing in the ear
- Tension or tightness under the breastbone*
Liver / Gallbladder0/75 · 0%
- Dizziness
- Dry skin
- Burning feet
- Blurred vision*
- Itching skin and feet
- Excessive hair loss
- Frequent skin rashes
- Bitter metallic taste in mouth in the morning
- Bowel movements painful or difficult
- A worrier, feels insecure
- Feeling queasy, headache over eyes
- Greasy foods upset
- Creamy foods upset
- Stools light-colored*
- Skin peels on foot soles
- Pain between shoulder blades
- Use laxatives
- Stools alternate between soft and watery
- Sneezing attacks
- Dreaming, nightmares; don’t remember dreams
- Bad breath (halitosis)
- Milk products cause distress
- Sensitive to hot water
- Burning or itching anus
- Craves sweets
Digestion / Gut Microbe0/60 · 0%
- Loss of taste for meat
- Lower bowel gas several hours after eating
- Burning stomach sensation; eating relieves
- Tongue – white coating
- Large amounts of foul-smelling gas
- Indigestion after meals
- Food allergy, sensitivity
- High sugar diet
- Mucus on stools
- Excessive fatigue after eating
- Gas shortly after eating
- Stomach bloating after meals
- Bad breath (halitosis)
- Diarrhea
- Weight gain
- Insomnia
- Skin problems
- Autoimmune conditions
- Difficulty urinating
- Vaginal or rectal itching
Hyperthyroid0/36 · 0%
- Insomnia
- Nervousness
- Cannot gain weight
- Intolerance to heat
- Highly emotional
- Flush easily
- Night sweats*
- Thin, moist skin
- Inward trembling
- Heart palpitates
- Increased appetite without weight gain
- Unusual stamina
Hypothyroid0/60 · 0%
- Eyelids and face twitch
- Irritable and restless
- Highly emotional
- Tear up easily
- Cannot work under pressure
- Increase in weight
- Decrease in appetite
- Fatigue easily
- Ringing in ear
- Sleeping during the day
- Sensitive to cold
- Dry or scaly skin
- Constipation
- Mental sluggishness
- Hair feels coarse
- Depression
- Headache upon rising, wears off during the day
- Low sex drive
- Impaired hearing
- Reduced initiative
Female Reproduction0/36 · 0%
- Very easily fatigued
- PMS
- Painful menses
- Depression with PMS
- Excessive menses, prolonged
- Painful breasts
- Menstruate too frequently
- Vaginal discharge
- Menopausal hot flashes
- Menses scanty or missed
- Acne worse at menses
- Depression long-standing
Male Reproduction0/36 · 0%
- Prostate trouble
- Urination difficult or dribbling
- Night urination frequent
- Depression
- Pain on the inside of legs or heels
- Feeling of incomplete bowel evacuation
- Lack of energy
- Migrating aches and pains
- Tire too easily
- Avoids activity
- Leg nervousness at night
- Diminished sex drive
Microbe / Immune0/60 · 0%
- Frequent colds
- Frequent cold sores
- Foot/nail fungus
- Urinary tract infection
- Yeast infection
- Coated tongue
- Frequent diarrhea
- Scaly skin rash
- Frequent blisters
- Loss of taste
- Vaginal discharge (women)
- Stiff neck
- Fever*
- Night sweats*
- Hot flashes
- Runny nose
- Sinus congestion
- Lymphatic congestion
- Frequent sore throat
- Frequent achy muscles
This survey is an educational pattern finder. It is not a validated medical diagnostic instrument, and a high score does not prove a diagnosis.