Food and Environmental Intolerances Questionnaire

Below are common signs and symptoms of food or environmental intolerances. These intolerances affect your body's ability to function and can contribute to adrenal fatigue. They may or may not show up on allergy tests, but if you have many of these signs and symptoms, your body is likely reacting to one or more substances you are eating, drinking or have been exposed to. Once you determine which substance(s) is bothering you and remove it, you should see improvement, provided that your adrenal glands have the capacity to respond and recover.

Note that the signs and symptoms listed below have more than one cause, and any single sign or symptom is not a direct indication of a food or environmental intolerance. Taken as a group, however, they are very useful indicators of hidden problems affecting your metabolism, and possibly your adrenals.

Check all items that you presently experience.

Physical Symptoms:


Head

headaches
faintness
dizziness
feeling of fullness in the head
excessive drowsiness or sleepiness soon after eating
insomnia


Eyes, Ears, Nose & Throat

runny nose
stuffy nose
excessive mucous formation
watery eyes
blurring of vision
darkness under eyes
ringing in ears
earache
fullness in ears
fluid in middle ear
hearing loss
recurrent ear infections
itching ear
ear drainage
sore throat
chronic cough
gagging
canker sores
itching of roof of mouth
recurrent sinusitis


Heart & Lungs

palpitations
increased heart rate (85 - 100 beats per min. at rest)
rapid heart rate (tachycardia - over 100 beats per min. at rest)
asthma
chest congestion
frequent or unexplained hoarseness


Gastrointestinal

nausea
vomiting
diarrhea
constipation
malabsorption
bloating alter meals
belching
colitis
flatulence (passing gas)
feeling of fullness in the stomach long after finishing a meal
abdominal pains or cramps


Skin

hives
rashes
eczema
dermatitis
pallor
repeated itching without apparent reason


Other physical symptoms

chronically fatigued
muscle weakness
muscle aches and pains
joint aches and pains
swelling of the hands, feet, or ankles
urinary tract symptoms (frequency, urgency)
vaginal itching
vaginal discharge
excessive hunger (and its close ally, binge or spree eating)

Psychological Symptoms:

anxiety attacks
depression
cravings
aggressive behavior
irritability
mental dullness
mental lethargy
confusion
excessive daydreaming
hyperactivity
restlessness
learning disabilities
poor work habits
slurred speech
stuttering
inability to concentrate
indifference
cloudy or foggy thinking