UltraSimple Diet Quiz

TAKE YOUR UltraSimple Diet quiz now and discover precisely which supplements you need to boost your metabolism, heal your body, and achieve your optimum weight. The UltraSimple Diet Quiz will assess how your detoxification system is working and how inflamed your body is. The more toxic and inflamed you are, the more likely you are to receive benefit from The UltraSimple Diet. Once you have completed the quiz, you will be provided with an assessment of your health status and a personalized list of supplement recommendations designed to help you achieve optimal results on the program.

Rate each symptom in the list that follows on a scale from 0 - 4 where: 0 = Never or almost never have the symptom (blank answer) 1 = Occasionally have it, effect is not severe 2 = Occasionally have it, effect is severe 3 = Frequently have it, effect is not severe 4 = Frequently have it, effect is severe

Digestive Tract

• Nausea or vomiting
  1 2 3 4
• Diarrhea
  1 2 3 4
• Constipation
  1 2 3 4
• Bloated feeling
  1 2 3 4
• Belching or passing gas
  1 2 3 4
• Heartburn
  1 2 3 4
• Intestinal/Stomach Pain
  1 2 3 4

Ears

• Itchy ears
  1 2 3 4
• Earaches or ear infections
  1 2 3 4
• Drainage from ear
  1 2 3 4
• Ringing in ears or hearing loss
  1 2 3 4

Emotions

• Mood swings
  1 2 3 4
• Anxiety, fear, or nervousness
  1 2 3 4
• Anger, irritability, or aggressiveness
  1 2 3 4
• Depression
  1 2 3 4

Energy/Activity

• Hyperactivity
  1 2 3 4
• Apathy or lethargy
  1 2 3 4
• Fatigue or sluggishness
  1 2 3 4
• Restlessness
  1 2 3 4

Eyes

• Watery or itchy eyes
  1 2 3 4
• Swollen, reddened, or sticky eyelids
  1 2 3 4
• Bags or dark circles under eyes
  1 2 3 4
• Blurred or tunnel vision (does not include near-or far-sightedness)
  1 2 3 4

Head

• Headaches
  1 2 3 4
• Faintness
  1 2 3 4
• Dizziness
  1 2 3 4
• Insomnia
  1 2 3 4

Heart

• Irregular or skipped heartbeat
  1 2 3 4
• Rapid or pounding heartbeat
  1 2 3 4
• Chest pain
  1 2 3 4

Joints / Muscles

• Aches or pain in joints
  1 2 3 4
• Arthritis
  1 2 3 4
• Stiffness or limitation of movement
  1 2 3 4
• Aches or pain in muscles
  1 2 3 4
• Feeling of weakness or tiredness
  1 2 3 4

Lungs

• Chest congestion
  1 2 3 4
• Asthma or bronchitis
  1 2 3 4
• Shortness of breath
  1 2 3 4
• Difficulty breathing
  1 2 3 4

Mind

• Poor memory
  1 2 3 4
• Confusion or poor comprehension
  1 2 3 4
• Poor concentration
  1 2 3 4
• Poor physical coordination
  1 2 3 4
• Difficulty making decisions
  1 2 3 4
• Stuttering or stammering
  1 2 3 4
• Slurred speech
  1 2 3 4
• Learning disabilities
  1 2 3 4

Mouth / Throat

• Chronic coughing
  1 2 3 4
• Gagging or frequent need to clear throat
  1 2 3 4
• Sore throat, hoarseness, or loss of voice
  1 2 3 4
• Swollen or discolored tongue, gum, or lips
  1 2 3 4
• Canker sores
  1 2 3 4

Nose

• Stuffy nose
  1 2 3 4
• Sinus problems
  1 2 3 4
• Hay fever
  1 2 3 4
• Sneezing attacks
  1 2 3 4
• Excessive mucus formation
  1 2 3 4