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Thank you for your interest in the Designs For Health nutritional supplements. Designs For Health have requested that as a client of HealthDesigns.com you fill out the following questions. This will help us assist you in product decisions and allow you access to this product line.

Please answer the following questions. Approx time = 2 minutes.

Or Call toll free  1.888.311.1146.

Rate each of the following symptoms based upon your typical health profile for the past 30 days. Select your response to each symptom.

Scale: Never or almost never have the symptom.
Occasionally have it; effect is not severe.
Occasionally have it; effect is severe.
Frequently have it; effect is not severe.
Frequently have it; effect is severe.

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Name:

HEAD

Never/

Almost Never

Occasionally/

effect not severe

Occasionally/

effect

severe

Frequently/

effect not severe

Frequently/

effect severe

Headaches

Faintness

Dizziness

Insomnia

EYES

Never/

Almost Never

Occasionally/

effect not severe

Occasionally/

effect

severe

Frequently/

effect not severe

Frequently/

effect severe

Watery or itchy eyes

Swollen, reddened or sticky eyelids

Bags or dark circles under eyes

Blurred or tunnel vision (does not include near- or farsightedness

EARS

Never/

Almost Never

Occasionally/

effect not severe

Occasionally/

effect

severe

Frequently/

effect not severe

Frequently/

effect severe

Itchy ears

Earaches, ear infections

Drainage from ears

Ringing in ears, hearing loss

NOSE

Never/

Almost Never

Occasionally/

effect not severe

Occasionally/

effect

severe

Frequently/

effect not severe

Frequently/

effect severe

Stuffy nose

Sinus problems

Hay fever

Sneezing attacks

Excessive mucus formation

MOUTH/THROAT

Never/

Almost Never

Occasionally/

effect not severe

Occasionally/

effect

severe

Frequently/

effect not severe

Frequently/

effect severe

Chronic coughing

Gagging, frequent need to clear throat

Sore throat, hoarseness, loss of voice

Swollen or discolored tongue, gums, lips

Canker sores

SKIN

Never/

Almost Never

Occasionally/

effect not severe

Occasionally/

effect

severe

Frequently/

effect not severe

Frequently/

effect severe

Acne

Hives, rashes, dry skin

Hair loss

Flushing, hot flashes

Excessive sweating

HEART

Never/

Almost Never

Occasionally/

effect not severe

Occasionally/

effect

severe

Frequently/

effect not severe

Frequently/

effect severe

Irregular or skipped heartbeat

Rapid or pounding heartbeat

Chest Pain

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IMPORTANT: Please read. Submitting this form, confirms agreement. 

  1. The information presented on this web site is for educational purposes only.  It is not meant to be a substitute for the advice given to you by your doctor. The information is not meant to diagnose or treat any health condition or disease. You should always follow the instructions given by your health care provider.

  2. Professional Grade dietary supplements and Homeopathic medicine are INTENDED to be used by those who are under the care and supervision of a LICENSED health care professional. 

  3. USE OF THIS SERVICE SIGNIFIES YOUR AGREEMENT TO THE Terms of use.

 

 

Toll Free  1.888.311.1146

 

HealthDesigns International

57340 Alpha Drive

Goshen, Indiana 46528

574.875.4653