Candida/Yeast Health Assessment
Our time is valuable, please do not complete the FREE Candida Assessment unless you are
serious about dealing with your problems and are willing to speak to one of our experienced
consultants concerning your assessment.
 

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Please tell us about your health problems.

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Additional Information for Candida/Yeast Assessment

Rate your exposure to automobile exhaust:
Light         Moderate        Severe

(Check current and past symptoms.)

Acne
Adrenal/Thyroid 
Allergies  
Anti-social
Asthma
Athlete's Foot
ADD/ADHD
Bad Breath
Bladder Infections
Body Odor
Breast Pathology
Bronchitis
Burning Eyes
Cardiac Irregularities
Cold/Shaky
Chemical Sensitivity
Chronic Constipation
Coated Tongue
Colds & Flu
Colitis
Colon Cancer
Constipation
Cystitis
Depression
 Diabetes
Diarrhea
Diverticulitis
Dry Mouth
Dry & Itching Skin
Ear and Respiratory
       Infections in Children
Excessive Ear WaxItching Ears
Endometriosis Sciatica
Epstein Bar Virus
Eye, Ear, Nose, & Throat 
Chronic Fatigue
Failing Memory
Fibromyalgia
Salt, Fat, Sugar Cravings
Foul Breath
Fungal Nails & Toenails
Gall Bladder Problems
Gas/Bloating
Gastritis Problems
Headaches
Heartburn
Heart Palpitations
Heart Skips Beats		 Hemorrhoids
Herpes
Hiatal Hernia
High Estrogen Levels
Hormone Imbalance
Hyperactivity 
Indigestions
Infections
Insomnia
Intestinal Pain
Irritability
Irritable Bowel
Lethargic/Laziness
Liver Problems
Low Blood Sugar
Lowered Immunity
Lupus
Menstrual Problems
Migraine Headaches
Mood Swings
Muscle Aches
Nausea
No Sex Drive
Itch Around Nose
Numbness		 Oral Herpes
Ovarian Cancers
Over-all Bad Feeling
PMS
PMS Symptoms
Poor Memory
Premature Aging
Puffy Eyes
Receding Gums
Respiratory Problems
Sinus
Skin Rashes & Hives
Spastic Colon
Stomach BloatingStomach Cramps
Thrush
Tongue CoatingTonsillitis
Ulcers
Urinary-Tract Infections
Weakness
Weight Gain
Weight Loss
Yeast Infections

* This information is made available to Nutrition 2000. 
This information will not be sold or traded to any other company or organization.

Candida/Yeast Health Assessment
Enterprise, AL 36330
(800) 558-9697
Email Us