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Questionnaires

H Pylori, Parasites, Hormones
Basic Health Questionnaires

Welcome to the H pylori online health assessment resource. If you are experiencing any of the following symptoms, I highly recommend that you spend some time working through some of these resources as they may help you understand why you are experiencing symptoms.

The questionnaires that can be downloaded from this page are not intended to diagnose any specific illness or disease, nor are they intended to replace medical testing and diagnosis under the care of a physician.

Digestive Health Assessments

H Pylori Questionnaire

DOWNLOAD THE H PYLORI QUESTIONNAIRE HERE <— Click here to download

I designed the H pylori questionnaire with world renowned nutrition expert William L. Wolcott. It is the only questionnaire I know of that helps you get a feel for whether H pylori is causing your symptoms. Be aware that the H pylori Questionnaire should be used alongside the Parasite Questionnaire for two reasons:

  1. More than half of you with H pylori will definitely also have yeast and fungal overgrowth or another unwanted digestive invader or two (including bacteria such as Salmonella, Vibrio, E. coli, C. Difficile, Klebsiella, Yersinia, Aeromonas) or parasites (including Giardia, Cryptosporidium, Blastocystis, Entamoeba, Hookworm, Whipworm, Pinworm, Threadworm, Intestinal and Liver Flukes).
  2. Other hidden digestive infections can cause the same or similar symptoms to H pylori. If you have all the trademark symptoms of H pylori, but your tests are coming back negative it may be because H pylori infection is not your problem, but another digestive ‘bug’ is.

Parasites Questionnaire

DOWNLOAD THE PARASITE QUESTIONNAIRE HERE <— Click here to download

In my experience, 90% of digestive symptoms are caused by two things:

  1. Something is in your body that shouldn’t be. This can be food that does not agree with your unique digestive make-up, toxins such as additives and E-numbers from your food supply, bacteria like H pylori, parasites or yeast and fungal overgrowth, often known as Candida.
  2. The ‘stuff’ that should be there is missing or is not there in the right amounts. Poor food choices, processed food, bugs such as H pylori and other digestive invaders can deplete stomach acid and enzyme levels making it hard for you to digest food. Undigested food sitting in your gut is acted on by bacteria and other microbes, causing gas, bloating and discomfort. You may also have low levels of friendly, or “predominant” bacteria due to over-consumption of processed foods.

Resolving the symptoms can be easy if you know how. You simply get rid of the things that shouldn’t be there and replace what should. But before you do that you need to know what’s invading and what’s missing. The Parasite questionnaire is a simple tool to analyse the likelihood of you harbouring unwanted digestive invaders.

Basic Stress & Hormone Assessments

Chronic symptoms and disease are always the result of stress. Stress is not just about the kids, the boss, the job, the family, the mortgage…it’s much more than that. We are exposed to stress in many different ways, including dietary stressors, inflammatory stressors like H pylori and parasite infection, food intolerance, dehydration, lack of exercise, sleep problems, chemicals in our environment and electromagnetic stress.

The net effect of too much stress is illness. Our hormones become imbalanced, our digestion is impaired and we often become toxic and develop nutritional deficiencies. Evaluation of stress levels can really help you understand why your symptoms are occurring and we have some excellent laboratory evaluations to help you determine specific imbalances in your body that can quickly be dealt with.

Stress Rating Questionnaire

In 1967 psychologists studied a large group of people and found that specific events or stressful issues in life seemed to lead to the development of health challenges 6 months – 2 years later. They created something called the Social Readjustment Scale, which you can answer below to see if the stress in your life is putting you at risk for current or future illness.

DOWNLOAD THE STRESS RATING QUESTIONNAIRE <— Click to download

Adrenal Stress / Adrenal Fatigue Questionnaire

Any form of stress on your body leads to stress hormones being produced in your adrenal glands. The main stress hormones are adrenaline, cortisol and DHEA. Over time, excessive stress leads to weakening of the adrenals and hormones become depleted. Weight gain, fatigue, depression, anxiety, memory problems, sleep issues, sexual dysfunction can all develop as a result.

DOWNLOAD THE ADRENAL STRESS QUESTIONNAIRE <— Click to download

Female & Male Hormone Balance Questionnaires

Hormones are very powerful chemicals. They are made in glands such as the thyroid, adrenals, ovaries and testes. You may have heard of some of them: Insulin, Cortisol, DHEA, Testosterone, Oestrogen, Progesterone, Melatonin and others. Imbalances in these powerful chemicals can cause many symptoms:

  • Fatigue
  • Weight gain
  • Digestive problems
  • PMS
  • Heavy periods (Dysmenorhoea)
  • No periods (Amenorrhoea)
  • Mood swings (Depression, Anxiety, Irritability)
  • Painful periods
  • Polycystic Ovary Syndrome (PCOS)
  • Oily skin & Acne
  • Infertility
  • Erectile dysfunction
  • Loss of muscle mass

Digestive infections like H pylori can lead to imbalances in the hormones because of the inflammation they cause. I’ve seen many hormonal symptoms clear up completely when these bugs have been eliminated from my clients’ bodies. Hormones can also slip out of balance because of stress, diet and lifestyle factors. The contraceptive pill is often disastrous for female hormone balance. Fortunately, if you have imbalanced hormones we can use saliva testing to locate the imbalances and correct them naturally using a number of excellent programmes.

DOWNLOAD THE HORMONE QUESTIONNAIRE <— Click to download