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What SHAPE is Your Health In? Quiz
What SHAPE is Your Health In? Quiz
shapereclaimed
2020-09-21T13:47:30-05:00
The What SHAPE is Your Health In? quiz is a great way to evaluate what SHAPE your health is in. Your results will steer you on the correct path towards better health. Share your results with your SHAPE practitioner. You can take this quiz as many times as you’d like to evaluate your progress on your healing journey.
Symptoms
Select the number that best describes how you have experienced each symptom over the last year:
Acid reflux, heartburn
Never
Sometimes
Always
Acne
Never
Sometimes
Always
Anxiety
Never
Sometimes
Always
Asthma
Never
Sometimes
Always
Belching, passing gas
Never
Sometimes
Always
Bleed or bruise easily
Never
Sometimes
Always
Bloating
Never
Sometimes
Always
Blurred or tunnel vision
Never
Sometimes
Always
Body odor
Never
Sometimes
Always
Breast masses or fibroids
Never
Sometimes
Always
Brittle Nails
Never
Sometimes
Always
Bronchitis
Never
Sometimes
Always
Brown age/liver spots
Never
Sometimes
Always
Chemical sensitivities
Never
Sometimes
Always
Chest congestion
Never
Sometimes
Always
Chest pain or pressure
Never
Sometimes
Always
Chronic coughing
Never
Sometimes
Always
Cold/canker sores
Never
Sometimes
Always
Constant sneezing
Never
Sometimes
Always
Constipation
Never
Sometimes
Always
Cravings
Never
Sometimes
Always
Cysts, boils
Never
Sometimes
Always
Depression
Never
Sometimes
Always
Diarrhea
Never
Sometimes
Always
Difficulty breathing
Never
Sometimes
Always
Difficulty concentrating
Never
Sometimes
Always
Difficulty falling/staying asleep
Never
Sometimes
Always
Difficulty losing weight
Never
Sometimes
Always
Dizziness, faintness
Never
Sometimes
Always
Ear drainage
Never
Sometimes
Always
Earaches, ear infections
Never
Sometimes
Always
Eczema, psoriasis
Never
Sometimes
Always
Erectile dysfunction
Never
Sometimes
Always
Excessive sweating
Never
Sometimes
Always
Excessive thirst/hunger
Never
Sometimes
Always
Fatigue, low energy
Never
Sometimes
Always
Food sensitivities/allergies
Never
Sometimes
Always
Frequent colds or flus
Never
Sometimes
Always
Frequent need to clear throat
Never
Sometimes
Always
Gallbladder problems
Never
Sometimes
Always
Gout
Never
Sometimes
Always
Hair loss or thinning
Never
Sometimes
Always
Hay fever, seasonal allergies
Never
Sometimes
Always
Headaches, migraines
Never
Sometimes
Always
Hemorrhoids
Never
Sometimes
Always
High blood pressure
Never
Sometimes
Always
Hives
Never
Sometimes
Always
Hot/cold intolerance
Never
Sometimes
Always
Hyperactivity
Never
Sometimes
Always
Incontinence
Never
Sometimes
Always
Indigestion
Never
Sometimes
Always
Insomnia
Never
Sometimes
Always
Intestinal or stomach pain
Never
Sometimes
Always
Irregular, skipped heartbeat
Never
Sometimes
Always
Irregular periods
Never
Sometimes
Always
Irritable when hungry
Never
Sometimes
Always
Itchy ears
Never
Sometimes
Always
Itchy skin, dermatitis
Never
Sometimes
Always
Joint pain
Never
Sometimes
Always
Kidney stones
Never
Sometimes
Always
Low back pain
Never
Sometimes
Always
Low blood pressure
Never
Sometimes
Always
Low blood sugar
Never
Sometimes
Always
Low libido
Never
Sometimes
Always
Mood swings
Never
Sometimes
Always
Muscle cramps, spasms
Never
Sometimes
Always
Muscle pain, aches, weakness
Never
Sometimes
Always
Nausea, vomiting
Never
Sometimes
Always
Nose bleeds
Never
Sometimes
Always
Painful or heavy periods
Never
Sometimes
Always
Poor memory
Never
Sometimes
Always
Premenstrual syndrome (PMS)
Never
Sometimes
Always
Prostate problems
Never
Sometimes
Always
Rapid or pounding heartbeat
Never
Sometimes
Always
Skin rashes
Never
Sometimes
Always
Shortness of breath
Never
Sometimes
Always
Sinus congestion or infection
Never
Sometimes
Always
Sore throat, hoarseness
Never
Sometimes
Always
Stiffness, limited movement
Never
Sometimes
Always
Stuffy nose
Never
Sometimes
Always
Swelling, edema
Never
Sometimes
Always
Swollen lymph nodes
Never
Sometimes
Always
Swollen tongue, gums or lips
Never
Sometimes
Always
Tendonitis, bursitis
Never
Sometimes
Always
Tinnitus, hearing loss
Never
Sometimes
Always
Ulcers
Never
Sometimes
Always
Urinary tract problems
Never
Sometimes
Always
Vaccine reactions
Never
Sometimes
Always
Vaginal discharge
Never
Sometimes
Always
Varicose veins
Never
Sometimes
Always
Watery or itchy eyes
Never
Sometimes
Always
Weight gain
Never
Sometimes
Always
Yeast infections
Never
Sometimes
Always
Conditions
Have you ever been diagnosed with any of the following? Select one: (Yes or No)
ADD/ADHD
Yes
No
Anxiety
Yes
No
Arthritis
Yes
No
Asthma
Yes
No
Autoimmune conditions
Yes
No
Celiac disease
Yes
No
Colitis, Crohn’s disease
Yes
No
Depression
Yes
No
Diabetes
Yes
No
Eczema, psoriasis
Yes
No
Fibromyalgia
Yes
No
GERD
Yes
No
Gout
Yes
No
Gouty arthritis
Yes
No
Hay fever, seasonal allergies
Yes
No
Heart disease
Yes
No
Hepatitis, liver disease
Yes
No
Hypoglycemia
Yes
No
Infertility
Yes
No
Insulin resistance
Yes
No
Irritable bowel syndrome (IBS)
Yes
No
Restless leg syndrome (RLS)
Yes
No
Seizure disorder, epilepsy
Yes
No
Thyroid condition
Yes
No
