The Gut Connection® – Gut Check

The Gut Connection® - Gut Check

Please review the symptoms in each category and select how often you experience them. Never = 0, Sometimes = 1, Often = 2. Categories 9–10: check any that apply.

Name(Required)

How to answer: For each statement select how often you experience it — Never, Sometimes, Often. Categories 9–10 are check-all-that-apply. You will receive the results via email after completion with an explanation and recommendations.

Category 1

Dry Mouth, Eyes or Nose(Required)
Startle Easily(Required)
Strong light irritates eyes(Required)
Cold hands or feet(Required)
Low Appetite(Required)

Category 2

Eyes, Nose Watery(Required)
Always seem hungry(Required)
Perspire Easily(Required)
Sensitive to Cold(Required)
Difficulty swallowing(Required)

Category 3

Belching or burping(Required)
Heartburn/Acid Reflux(Required)
Undigested food in stools(Required)
Foul smelling gas/stools(Required)
Prolonged fullness after eating(Required)

Category 4

Trouble with fatty foods(Required)
Discomfort between shoulder blades(Required)
Floating or pale stools(Required)
Bitter/metallic taste after eating(Required)
Alternating constipation and diarrhea(Required)

Category 5

Blurred vision(Required)
Dry itchy skin(Required)
Halitosis (bad breath)(Required)
Bruise Easily(Required)
Brain Fog(Required)

Category 6

Bloating, Gas 1–2 hours after eating(Required)
Brittle nails or thinning hair(Required)
Depend on digestive enzymes(Required)
Low tolerance to alcohol or caffeine(Required)
Abdominal pain radiating to back(Required)

Category 7

Abdominal cramping around the navel(Required)
Food Intolerances(Required)
Skin issues – Hives, Eczema(Required)
Fatigue or “post-meal crash”(Required)
Joint/muscle pain without clear cause(Required)

Category 8

Constipation (Less than 1 BM/day)(Required)
Diarrhea(Required)
Excess gas and flatulence(Required)
Anal itching or burning(Required)
Sense of incomplete evacuation(Required)

Category 9

Do you have any of the following (check any)

Category 10

Do you have any of the following (check any)
Please check the box so we know you’re human.