Do you experience any digestive issues such as bloating, gas, diarrhea, heartburn, or pain in the belly?
Yes, frequently
Yes, occasionally
No, hardly ever
How often do you have a bowel movement?
At least once a day
Once every two days
Once every three or more days
Do you feel happy and satisfied?
Yes, most of the time
Yes, some of the time
No, hardly ever
Do you worry or feel anxious?
Yes, frequently
Yes, some of the time
No, hardly ever
How often do you do relaxation exercises such as meditation, yoga, deep breathing
Never
At least three times/week
Daily
Do you suffer from painful joints, psoriasis, or eczema?
Yes, frequently
Yes, some of the time
No, hardly ever
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