duplicate of leaky gut syndrom

Welcome to your duplicate of leaky gut syndrom

This questionnaire has been reprinted from Dr. Elizabeth's Lipski's book, Leaky Gut Syndrome.

Circle the number that mostly fits.
1 = Symptom is not present or rarely present
2 = Mild/sometimes
3 = Moderate/often
4 = Severe/almost always

Please provide your email to have your results emailed to you:

Constipation and/or diarrhea

1 2 3 4

Abdominal pain or bloating

1 2 3 4

Joint pain, swelling, arthritis

1 2 3 4

Chronic or frequent fatigue or tiredness

1 2 3 4

Food allergies, sensitivities or intolerance

1 2 3 4

Sinus or nasal congestion

1 2 3 4

Chronic or frequent inflamations

1 2 3 4

Eczema, skin rashes or hives, asthma, hay fever, or air borne allergies

1 2 3 4

Confusion, poor memory or mood swings

1 2 3 4

Use of NSAIDS (Aspirin, Tylenol, Motrin)

1 2 3 4

Alcohol consumption makes you feel sick

1 2 3 4

Ulcerative colitis, Crohn's or Celiac disease

1 2 3 4

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