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Toxicity Quiz

The below symptoms help identify the underlying causes of illness. Rate each symptom based on your health profile for the past 30 days. For subsequent submissions, record your symptoms for the last 48 hours ONLY.

- Step 1 of 4

Head

Headaches

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Faintness

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Dizziness

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Insomnia

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Eyes

Watery or itchy eyes

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Swollen, reddened or sticky eyelids

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Bags or dark circles under eyes

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Blurred or tunnel vision (does not include near or far-sightedness)

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Ears

Itchy ears

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Earaches, ear infections

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Drainage from ear

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Ringing in ears, hearing loss

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Nose

Stuffy nose

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Sinus problems

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Hay fever

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Sneezing attacks

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Excessive mucus formation

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Mouth/Throat

Chronic coughing

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Gagging, frequent need to clear throat

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Sore throat, hoarseness, loss of voice

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Swollen/discolored tongue, gum, lips

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Canker sores

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Skin

Acne

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Hives, rashes or dry skin

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Hair loss

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Flushing or hot flushes

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Excessive sweating

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Heart

Irregular or skipped heartbeat

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Rapid or pounding heartbeat

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Chest pain

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Lungs

Chest congestion

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Asthma, bronchitis

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Shortness of breath

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Difficult breathing

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Digestive Tract

Nausea or vomiting

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Diarrhea

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Constipation

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Bloated feeling

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Belching or passing gas

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Heartburn

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Intestinal/Stomach pain

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Joints/Muscles

Pain or aches in joints

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Arthritis

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Stiffness or limitation of movement

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Pain or aches in muscles

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Feeling of weakness or tiredness

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Weight

Binge eating/drinking

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Craving certain foods

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Excessive weight

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Compulsive eating

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Water retention

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Underweight

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Energy/Activity

Fatigue, sluggishness

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Apathy, lethargy

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Hyperactivity

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Restlessness

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Mind

Poor memory

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Confusion, poor comprehension

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Poor concentration

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Poor physical coordination

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Difficulty in making decisions

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Stuttering or stammering

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Slurred speech

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Learning disabilities

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Emotions

Mood swings

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Anxiety, fear, or nervousness

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Anger, irritability, or aggressiveness

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Depression

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Other

Frequent illness

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Frequent or urgent urination

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

Genital itch or discharge

Never
Occasionally but not severe
Occasionally and severe
Frequently but not severe
Frequently and severe

First Name *

Last Name *

Email *

Phone *

What state do you reside in? *

Primary Health Concern *

I agree the quiz results are for informational purposes only and not designed to diagnose or treat my specific conditions. I consent to be added to the Rose Wellness free newsletter and be contacted by them.

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