SOS Stress Assessment | FernCreekChiro

Blood Sugar Imbalance

I experience symptoms of hypoglycemia such as dizziness, shakiness or brain fog between or following meals.

I frequently miss or delay meals.

I frequently crave sugar or carbohydrates.

I consume excessive sugar or refined carbohydrates.

I am diabetic or pre-diabetic.

I regularly consume alcohol or caffeine.

I consume food within two hours before bedtime.

Mental and Emotional Stress

I frequently experience anxiety.

I suffer from depression.

I suffer from mood swings.

I have difficulty getting motivated.

I frequently experience feelings of agitation anger, fear or worry.

I consider my job, , relationships or finances stressors in your daily life.

I am a caregiver for a parent or disabled child.

Sleep Cycle Disturbances

I experience problems falling asleep.

I experience difficulty staying asleep.

I sleep less than 7-9 hours each night.

I awaken not feeling well-rested in the morning.

I work 2nd or 3rd shift or keep late night hours.

I use electronic devices within two hours before bed.

I eat within two hours of bedtime.

I frequently feel drowsy throughout the day.

I snore.

Inflammatory Imbalance or Chronic Pain

Musculoskeletal: I suffer from headaches, muscle, back or joint pain.

Gastrointestinal: I suffer from IBS, Crohn’s disease or diverticulitis.

Dermatological: I suffer from hives eczema or psoriasis.

Respiratory: I suffer from asthma bronchitis, seasonal allergies or hay fever.

Autoimmune: I suffer from any autoimmune condition such as MS, lupus or rheumatoid arthritis.

Immunological: I suffer from food allergies, chronic infections or frequent Illness.

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