PART 2 OF 2
YOUR CURRENT STATE
Answer based on how you have been feeling over the past 2–4 weeks, not your long-term tendencies.
1 EMOTIONAL RESPONSE
When dealing with difficulties or uncertainty lately, I have felt:
Select all that apply.
A. Impatient, easily angered, frustrated, or critical of myself and others (P)
B. Anxious, nervous, fearful, or lonely — my mind tends to race or spiral (V)
C. Flat, unmotivated, or emotionally heavy — it takes more effort to feel uplifted (K)
D. Does not apply
2 MENTAL CLARITY
Lately, my thoughts have felt:
Select all that apply.
A. Sharply critical, rigid, or judgemental — of myself or others (P)
B. Foggy, scattered, or hard to focus — I struggle to feel mentally sharp (V)
C. Heavy, slow, or dull — my thinking lacks its usual clarity or enthusiasm (K)
D. Does not apply
3 MOOD STABILITY
In terms of mood, I have recently tended to feel:
Select all that apply.
A. Easily frustrated or quick to irritation — my fuse has felt shorter than usual (P)
B. Nervous, restless, or on edge — a sense of underlying worry or unease (V)
C. Low, withdrawn, or stuck — finding it harder to feel motivated or positive (K)
D. Does not apply
4 SLEEP QUALITY
Recently, my sleep has been:
Select all that apply.
A. Interrupted — I struggle to fall asleep, wake frequently, or sleep lightly (V)
B. Generally sound — I sleep well and feel rested, though I don't need as much as most (P)
C. Deep and long — I need a lot of sleep and wake up slowly, sometimes still feeling heavy (K)
D. Does not apply
5 ENERGY LEVELS
I have recently felt easily tired, depleted, or physically worn out.
A. Yes (V)
B. No
C. Does not apply
6 ENERGY FLUCTUATION
Throughout the day, my energy levels have tended to:
Select all that apply.
A. Peak strongly in the middle of the day and drop off significantly by evening (P)
B. Fluctuate unpredictably — high at times, then suddenly flat with no clear pattern (V)
C. Stay fairly low overall, with a tendency toward sluggishness — especially in the morning (K)
D. Does not apply
7 PHYSICAL MOTIVATION
I have not felt much drive or desire for physical activity recently.
A. Yes (K)
B. No
C. Does not apply
8 INVOLUNTARY MOVEMENT
I have recently noticed tics, twitches, tremors, or heart palpitations.
A. Yes (V)
B. No
C. Does not apply
9 EATING BEHAVIOUR
I have felt irritable, impatient, or headachy when I haven't eaten on time.
Select all that apply.
A. Applies (P)
B. Somewhat applies
C. Does not apply
10 FORGETTING TO EAT
I have forgotten to eat and then felt spacey, low energy, or unfocused as a result.
Select all that apply.
A. Applies (V)
B. Somewhat applies
C. Does not apply
11 EMOTIONAL EATING
I have eaten for comfort or out of habit, even when I wasn't physically hungry.
Select all that apply.
A. Applies (K)
B. Somewhat applies
C. Does not apply
12 APPETITE
My appetite recently has been:
Select all that apply.
A. Strong and frequent — I feel hungry often and eat larger quantities than usual (P)
B. Variable — sometimes very hungry, other times I forget to eat or have little interest in food (V)
C. Low but steady — I don't feel very hungry but eat regularly out of routine or comfort (K)
D. Does not apply
13 THIRST
My thirst levels have recently been:
Think about your natural thirst signals, not how much you are intentionally drinking. Select all that apply.
A. High — I feel thirsty often and drink frequently throughout the day (P)
B. Irregular — I often forget to drink until I'm quite thirsty or feeling off (V)
C. Low — I rarely feel very thirsty and have to remind myself to drink (K)
D. Does not apply
14 GAS AND BLOATING
I have experienced gas, bloating, or abdominal discomfort recently.
Select all that apply.
A. Applies (V)
B. Somewhat applies
C. Does not apply
15 DIGESTIVE HEAT
I have felt acidity, heartburn, burning sensations, or excess heat in my digestive system recently.
Select all that apply.
A. Applies (P)
B. Somewhat applies
C. Does not apply
16 SLOW DIGESTION
I have felt a sense of heaviness, fullness, or sluggishness after eating — as though my digestion is slow.
Select all that apply.
A. Applies (K)
B. Somewhat applies
C. Does not apply
17 BOWEL MOVEMENTS
My bowel movements recently have been:
Select all that apply.
A. Loose or more frequent than usual, sometimes with a burning sensation (P)
B. Irregular, dry, or hard — often accompanied by gas or incomplete elimination (V)
C. Slow and infrequent — I feel a sense of heaviness or sluggishness afterward (K)
D. Does not apply
18 BODY TEMPERATURE
Lately, my body temperature has been running:
How your body has actually felt recently — not your general preference. Select all that apply.
A. Colder than usual — especially in my hands, feet, or extremities (V)
B. Warmer than usual — I feel hot easily, flush often, or find heat uncomfortable (P)
C. Fairly stable — I don't notice significant changes in temperature either way (K)
D. Does not apply
19 SKIN CONDITION
My skin has recently shown signs of:
Select all that apply.
A. Redness, sensitivity, irritation, or breakouts — my skin has been more reactive than usual (P)
B. Dryness, flakiness, or a thin, tight feeling — especially in drier or colder conditions (V)
C. Congestion, excess oiliness, or enlarged pores — a dull or heavy quality to the skin (K)
D. Does not apply
20 JOINT HEALTH
I have noticed pain, stiffness, or discomfort in my joints recently — especially with cracking, popping, or reduced mobility.
A. Yes (V)
B. No
C. Does not apply
21 FLUID RETENTION
My body has felt swollen, puffy, or heavier than usual recently — particularly in my face, hands, or ankles.
A. Yes (K)
B. No
C. Does not apply
22 WEIGHT CHANGES
I have noticed gradual weight gain recently, without significant changes to my diet or activity level.
A. Yes (K)
B. No
C. Does not apply
23 INFLAMMATION
I have experienced inflammation, skin reactions, urinary irritation, or a tendency toward infections recently.
A. Yes (P)
B. No
C. Does not apply
24 EYE HEALTH
My eyes have been red, itchy, burning, or irritated recently.
A. Yes (P)
B. No
C. Does not apply
25 HEALTH CHALLENGE
What are your main health challenges right now?
Please select your top 3.
A. Mood and emotional wellbeing
B. Digestion and gut health
C. Energy and fatigue
D. Skin health
E. Weight management
F. None of these right now
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