What SHAPE Is Your Health In?

What SHAPE is Your Health In?

Our SHAPE ReClaimed quiz is a great way to see what SHAPE your health is in. Your results can help you decide whether to embark on a SHAPE ReClaimed journey. Share the results with your practitioner and come back and take the SHAPE ReClaimed quiz to see how your health improves along the way.

Select answers based on your symptoms over the last year.

Click "Next" to get started!

Start the SHAPE ReClaimed Quiz

Symptoms: Select the number that best describes how you have experienced each symptom over the last year:

0 = never    1 = occasionally    2 = frequent/mild    3 = frequent/moderate    4 = frequent/severe    5 = always

Acid reflux, heartburn
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Acne

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Anxiety

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Asthma

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Belching, passing gas

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Bleed or bruise easily

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Bloating

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Blurred or tunnel vision

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Body odor

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Breast masses or fibroids

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Brittle nails

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Bronchitis

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Brown age/liver spots

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Chemical sensitivities

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Chest congestion

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Chest pain or pressure

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Chronic coughing

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Cold/canker sores

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Cold/canker sores

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Constipation

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Cravings

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Cysts, boils

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Depression

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Diarrhea

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Difficulty breathing

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Difficulty concentrating

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Difficulty falling/staying asleep

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Difficulty losing weight

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Dizziness, faintness

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Ear drainage

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Earaches, ear infections

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0 = never    1 = occasionally    2 = frequent/mild    3 = frequent/moderate    4 = frequent/severe    5 = always

Eczema, psoriasis

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Erectile dysfunction

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Excessive sweating

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Excessive thirst/hunger

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Fatigue, low energy

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Food sensitivities/allergies

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Frequent colds or flus

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Frequent need to clear throat

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Gallbladder problems

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Gout

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Hair loss or thinning

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Hay fever, seasonal allergies

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Headaches, migraines

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Hemorrhoids

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High blood pressure

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Hives

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Hot/cold intolerance

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Hyperactivity

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Incontinence

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Indigestion

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Insomnia

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Intestinal or stomach pain

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Irregular, skipped heartbeat

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Irregular periods

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Irritable when hungry

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Itchy ears

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Itchy skin, dermatitis

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Joint pain

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Kidney stones

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Kidney stones

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Low blood pressure

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0 = never    1 = occasionally    2 = frequent/mild    3 = frequent/moderate    4 = frequent/severe    5 = always

Low blood sugar

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Low libido

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Mood swings

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Muscle cramps, spasms

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Muscle pain, aches, weakness

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Nausea, vomiting

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Nose bleeds

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Painful or heavy periods

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Poor memory

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Premenstrual syndrome (PMS)

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Prostate problems

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Rapid or pounding heartbeat

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Skin rashes

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Shortness of breath

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Sinus congestion or infection

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Sore throat, hoarsenes

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Stiffness, limited movement

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Stuffy nose

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Swelling, edema

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Swollen lymph nodes

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Swollen tongue, gums or lips

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Tendonitis, bursitis

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Tinnitus, hearing loss

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Ulcers

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Urinary tract problems

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Vaccine reactions

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Vaccine reactions

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Varicose veins

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Watery or itchy eyes

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Weight gain

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Yeast infections

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Conditions: Have you ever been diagnosed with any of the following? Select Yes or No

ADD/ADHD

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Anxiety

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Arthritis

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Asthma

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Autoimmune condition

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Celiac disease

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Colitis, Crohn's disease

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Depression

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Diabetes

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Eczema, psoriasis

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Fibromyalgia

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GERD

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GERD

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Gouty arthritis

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Hay fever, seasonal allergies

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Heart disease

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Hepatitis, liver disease

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Hypoglycemia

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Infertility

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Insulin resistance

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Irritable Bowel Syndrome

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Restless leg syndrome

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Seizure disorder, epilepsy

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Thyroid condition

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