Babinetics

 


Home

 

Web Clinic

 

Prime Formula

 

Products

 

Services

 

Contact - Travel

 

Who Are the Babinets

 








 

 

Comprehensive Assessment

One of my mentors, Dr. Datis Kharrazian, developed this amazing assessment that can quickly help me identify critical issues.  Please take the time to complete the questionnaire and we will offer you individualized practical advice.

Note: If you are a Mac user, you will find that Mozilla Firefox will process this assessment much better than Safari. Here is a link to free download Firefox if needed:

http://www.mozilla.com/en-US/firefox/4.0/system-requirements/
 

Click any conditions that apply: 		Learn more about the conditions below.
Low Energy Difficulty Handling Stress
Crave Sweets Low Sex Drive
Headaches Poor Concentration - Poor Memory
Weight Around Waist Bitter Metallic Taste in Mouth
Aching Joints Poor Digestion
Difficulty Losing Weight Intolerance to Greasy Foods
Muscle Cramps Heartburn / Acid Reflux
Water Retention Hot Flashes

Please choose the appropriate number “0 - 3” on all questions below. 0 as the least/never to 3 as the most/always.

Section I

Alternating constipation and diarrhea
Diarrhea
Constipation
Hard dry or small stool
Coated tongue of “fuzzy” debris on tongue
Pass large amount of foul smelling gas
More than 3 bowel movements daily
Use laxatives frequently

Section II

Offensive breath
Difficult bowel movements
Sense of fullness during and after meals
Difficulty digesting fruits and vegetables
Undigested foods found in stools

Section III

Heartburn when lying down or bending forward
Temporary relief from antacids, food, milk, carbonated beverages
Digestive problems subside with rest and relaxation

Heartburn due to spicy foods, chocolate, citrus, peppers, alcohol and caffeine
Feeling hungry an hour or two after eating

Section IV

Roughage and fiber cause constipation
Indigestion and fullness lasts 2-4 hours after eating
Pain, tenderness, soreness on left side
Under rib cage bloated
Excessive passage of gas
Nausea and/or vomiting
Stool undigested, foul smelling, mucous-like, greasy or poorly formed
Frequent urination
Increased thirst and appetite
Difficulty losing weight

Section V

Bitter metallic taste in mouth,especially in the morning
Unexplained itchy skin
Yellowish cast to eyes
Stool color alternates for clay colored to normal brown
Reddened skin, especially palms
Dry or flaky skin and/or hair
History of gallbladder attacks or stones
Have you had your gallbladder removed?

Section VI

Depend on coffee to keep yourself going or started
Get lightheaded and if meals are missed
Eating relieves fatigue
Feel shaky, jittery, tremors
Agitated, easily upset, nervous
Poor memory, forgetful
Blurred vision

Section VII

Fatigue after meals
Crave sweets during the day
Eating sweets does not relieve cravings for sugar
Must have sweets after meals
Waist girth is equal or larger than hip girth
Frequent urination
Increased thirst & appetite
Difficulty losing weight

Section VIII

Cannot stay asleep
Crave salt
Slow starter in the morning
Afternoon fatigue
Dizziness when standing up quickly
Afternoon headaches
Headaches with exertion or stress
Weak nails

Section IX

Cannot fall asleep
Perspire easily
Under high amounts of stress
Weight gain when under stress
Wake up tired even after 6 or more hours of sleep
Excessive perspiration or perspiration with little or no activity

Section X

Tired, sluggish
Feel cold – hands, feel, all over
Require excessive amounts of sleep to
function properly
Increase in weight gain even with low-calorie diet
Gain weight easily
Difficult, infrequent bowel movements
Depression, lack of motivation
Morning headaches that wear off
as the day progresses
Outer third of eyebrow thins
Thinning of hair on scalp, face or genitals or
excessive falling hair
Dryness of skin and/or scalp
Mental sluggishness

Section XI

Heart palpations
Inward trembling
Increased pulse even at rest
Nervousness and emotional
Insomnia
Night sweats
Difficulty gaining weight

Section XII

Diminished sex drive
Menstrual disorders or lack of menstruation
Increased ability to eat sugars without symptoms

Section XIII

Increased sex drive
Tolerance to sugars reduced
“Splitting” type headaches

Section XIV (Males Only)

Urination difficulty or dribbling
Urination frequent
Pain inside of legs or heels
Feeling of incomplete bowel evacuation
Leg nervousness at night

Section XV (Males Only)

Decrease in libido
Decrease in spontaneous morning erections
Decrease in fullness of erections
Difficulty in maintaining morning erections
Spells of mental fatigue
Inability to concentrate
Episodes of depression
Muscle soreness
Decrease in physical stamina
Unexplained weight gain
Increase in fat distribution around chest and hips
Sweating attacks
More emotional than in the past

Section XVI (Menstruating Females Only)

Are you menopausal?
Alternating menstrual cycle lengths?
Extended menstrual cycle, greater than 32 days
Shortened menses, less than every 24 days
Pain and cramping during periods
Scanty blood flow
Heavy blood flow
Breast pain and swelling during menses
Pelvic pain during menses
Irritable and depressed during menses
Acne break outs
Facial hair growth
Hair loss/thinning

Section XVII (Menopausal Females Only)

How many years have you been menopausal?
Do you ever have uterine bleeding since menopause?
Hot flashes
Mental fogginess
Disinterest in sex
Mood swings
Depression
Painful intercourse
Shrinking breast
Facial hair growth
Acne
Increased vaginal, pain, dryness or itching

Section A

Are you losing your pleasure in hobbies and interests?
How often do you feel overwhelmed with ideas to manage?
How often do you have feelings of inner rage (anger)?
How often do you have feelings of paranoia?
How often do you feel sad or down for no reason?
How often do you feel like you are not enjoying life?
How often do you feel you lack artistic appreciation?
How often do you feel depressed in overcast weather?
How much are you losing your enthusiasm for your favorite activities?
How much are you losing enjoyment for your favorite foods?
How much are you losing your enjoyment of friendships and relationships?
How often do you have difficulty falling into deep restful sleep?
How often do you have feelings of dependency on others?
How often do you feel more susceptible to pain?
How often do you have feelings of unprovoked anger?
How much are you losing interest in life?

Section B

How often do you have feelings of hopelessness?
How often do you have self-destructive thoughts?
How often do you have an inability to handle stress?
How often do you have anger and aggression while under stress?
How often do you feel you are not rested even after long hours of sleep?
How often do you prefer to isolate yourself from others?
How often do you have unexplained lack of concern for family and friends?
How easily are you distracted from your tasks?
How often do you have an inability to finish tasks?
How often do you feel the need to consume caffeine to stay alert?
How often do you feel your libido has been decreased?
How often do you lose your temper for minor reasons?
How often do you have feelings of worthlessness?

Section C

How often do you feel anxious or panic for no reason?
How often do you have feelings of dread or impending doom?
How often do you feel knots in your stomach?
How often do you have feelings of being overwhelmed for no reason?
How often do you have feelings of guilt about everyday decisions?
How often does your mind feel restless?
How difficult is it to turn your mind off when you want to relax?
How often do you have disorganized attention?
How often do you worry about things you were not worried about before?
How often do you have feelings of inner tension and inner excitability?

Section D

Do you feel your visual memory (shapes & images) is decreased?
Do you feel your verbal memory is decreased?
Do you have memory lapses?
Has your creativity been decreased?
Has your comprehension been diminished?
Do you have difficulty calculating numbers?
Do you have difficulty recognizing objects & faces?
Do you feel like your opinion about yourself has changed?
Are you experiencing excessive urination?
Are you experiencing slower mental response?

Be sure and click the submit button!!!

Thank you for completing our assessment. We will review your information and get back to you with suggestions.

Click here to order our e-book "Secrets to a Long Healthy Life: Natural Strategies for Optimal Health"
 

Click here to order the Prime Formula

   


 

 

 


 

services

Q&A