HEALTH ASSESSMENT FORM
Are you
tired of doctors who are too tired to address your medical concerns..You
do not have to be any longer .Answering these questions will help you
find out what may be your problem..If you can answer the questions in each
section and see how many you are allowed then if you go on or above the
allowed answers then you may need to take supplements to correct the
condition
.If you have problem with more than one area just start correcting one first then move on to the next. There is a product for each are. Just follow the link here to read up on them. There are from a company who is known to make superb products that works you may check out the reviews on Amazon .com Natures Sunshine Products will help you send your doctor on a vacation or better still lay him off. You can type in the the name of the product in the search box when you click on the product name link. |
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1.CIRCULATORY
SYSTEM 4 or more ( Mega
Chel)
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Lack of energy
Eat fast food more than once a week Bags under eyes Smoking Poor concentration or memory Stressful lifestyle Family history of heart disease |
Hair
loss
Sore or painful joints Low endurance/stamina Slow recovery from illness Diet high in processed foods Low-fiber diet High blood pressure |
2. DIGESTIVE
SYSTEM 5 or more
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Lack
of energy
Body odor and/or bad breath Difficulty in digesting certain foods Food allergies Poor resistance to disease Belching or gas after meals Skin/complexion problems Lack of a balanced diet Less than 2 bowel movements per day |
Less
than 2 bowel movements per day
High-fat diet Low-fiber diet Food/chemical sensitivities Recurrent yeast/fungal infections Easily irritated or angered Don't exercise regularly Respiratory, sinus or allergy problems |
3. INTESTINAL SYSTEM 5 or more
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Body
odor and/or bad breath
Monthly female concerns Recent or frequent use of antibiotics Skin/complexion problems Frequent consumption of pasteurized dairy Feeling low, uninterested, or depressed Lack of a balanced diet Slow recovery from illness |
Less
than 2 bowel movements per day
High-fat diet Low-fiber diet Food/chemical sensitivities Recurrent yeast/fungal infections Easily irritated or angered Don't exercise regularly Respiratory, sinus or allergy problems |
4.
GLANDULAR SYSTEM 5 or more
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Lack
of energy
Monthly female concerns Regular consumption of alcohol Frequent mood swings Poor concentration or memory Stressful lifestyle Skin/complexion problems Cravings for sweets, salt or junk foods Too little sleep or restless sleep Menopausal concerns |
Hair
loss
Difficulty in maintaining ideal weight Lack of a balanced diet Slow recovery from illness Lack of appetite Low sex drive Unsettled, apprehensive, pressured Caffeinated beverage (16 oz.) daily
Easily
irritated or angered
Don't exercise regularly |
5. NERVOUS
SYSTEM 5 or more
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Lack
of energy
Regular consumption of alcohol Frequent mood swings Bags under eyes Smoking Poor concentration or memory Stressful lifestyle Cravings for sweets, salt or junk foods Feeling low, uninterested, or depressed Too little sleep or restless sleep Menopausal concerns |
Hair
loss
Difficulty in maintaining ideal weight Less than 2 bowel movements per day Lack of appetite Unsettled, apprehensive, pressured Muscle cramps or spams Caffeinated beverage (16 oz.) daily Feeling out of control Suffer from anxiety or worry Easily irritated or angered Don't exercise regularly |
6.RESPIRATORY SYSTEM 5 or more
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Body
odor and/or bad breath
Food allergies Smoking Regular consumption of dairy foods |
Feeling
low, uninterested, or depressed
Exposure to air pollution daily Respiratory, sinus or allergy problems |
7.
IMMUNE SYSTEM 5 or more
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Lack
of energy
Illness more than twice a year Difficulty in digesting certain foods Food allergies Recent or frequent use of antibiotics Poor resistance to disease Stressful lifestyle |
Difficulty
in maintaining ideal weight
Slow recovery from illness Exposure to air pollution daily Feeling out of control Food/chemical sensitivities Recurrent yeast/fungal infections
Belching or gas after meals
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8.
STRUCTURAL SYSTEM 5 or more
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Skin/complexion
problems
Menopausal concerns Hair loss Sore or painful joints Difficulty in maintaining ideal weight Low endurance/stamina |
Weak
bones, teeth or cartilage
Don't exercise regularly Muscle cramps or spams Caffeinated beverage (16 oz.) daily Brittle or easily broken fingernails Feeling out of contro |
9. URINARY SYSTEM 2 or more
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( urinary maintenance)
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Body
odor and/or bad breath
Monthly female concerns Bags under eyes Skin/complexion problems |
Frequent
urination or urinary concerns
Dry, damaged or dull hair Weak bones, teeth or cartilage |
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DIETARY GUIDELINES
The following are the rules of an eating plan that will give you everything you can possibly do from a dietary standpoint to assure a longer, stronger life. These rules are listed in their order of importance, so it is essential that you adopt the first few rules on the list as your highest priority, then work on subsequent rules over time.
The following are the rules of an eating plan that will give you everything you can possibly do from a dietary standpoint to assure a longer, stronger life. These rules are listed in their order of importance, so it is essential that you adopt the first few rules on the list as your highest priority, then work on subsequent rules over time.
1.You
must eat 3 complete meals daily, each with a substantial portion of meat,
fish, poultry, eggs, cheese, cottage cheese ,Include fruits, vegetables, grains nuts. — 21
substantial meals weekly, without fail.
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2.
Eat 3 meals and only 3 meals
daily. Do not snack between meals. If you are hungry between meals, it means
that you simply did not eat enough meat, fish, poultry, eggs, or beans
,cheese at your previous meal. A proper meal will suppress your appetite for
at least 5 hours.
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1.
3The
emphasis on meat, fish, poultry, eggs, cheese, and cottage cheese, beans does
not constitute a “high protein diet.” The emphasis is not on eating large
quantities of these protein foods, but being certain that you get a
substantial portion of protein at each meal, instead of putting the lion’s
share of your protein in 1 or 2 meals.
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4.Never, never, never drink fruit
juice or other sweet beverages .Eating the fruit itself is better. The only true beverage is water. Milk is not
a beverage; it is a food. Water-blended beverages such as herbal tea are generally okay in
moderation, as long as they are not sweetened
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5.
Never, never, never consume the
artificial sweeteners aspartame (Nutra Sweet/Equal) sucralose,
Saccharin (Sweet N’ Low) and Xylitol. If you
absolutely must use a sweetener, then use either Electro Tonic or Stevia. are okay in moderation.(You may use
small amount of honey or molasses, or genuine maple syrup)
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6. Avoid fats and oils that have
been processed at high temperatures. This eliminates all deep fried (chips
and fries) and pan fried foods from your eating plan, as well as cooking
oils, salad dressings, margarine, mayonnaise, nuts, and nut butters. To the
extent that you use concentrated fats for cooking or eating, use olive oil,
butter, or coconut oil.
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7.Sugar
and foods made with sugar (cakes, pies, ice cream, cookies, candy, etc.)
should be kept to an absolute minimum or avoided completely. Enjoy them on holidays and other
special occasions, but eliminate them from your daily routine.
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8. Eat
your vegetables — at least 2 servings daily.
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9. Obtain a good source of drinking water. Water will only
contribute to your health if it is high in total dissolved solids, and if it
is free of the toxic chemicals added to municipal water supplies such as
aluminum flocculants, chlorine, and fluoride
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10.Cook your vegetables, but do not
overcook them. .Eat as much raw as possible
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11.Cook your meat, fish, and poultry
as little as possible. There are 2 ways to preserve the high nutrient
concentration of meat, fish, and poultry — either broil or steam at a high
temperature for a very short period of time, or, cook at a very low
temperature for a long period of time (such as in a crock-pot or an oven at
very low temperature).
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!2.NB.For individuals
who do not eat meat, poultry, fish,or dairy you must eat adequate of protein
foods like legumes, peas, beans , nuts. grains You do not need to over eat. Remember to add your Vt.
B12 supplements. NB. It is better to
have two meals per day
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DISCLAIMER This programme is not intended to diagnose, prescribe or
treat a medical Condition.
It is intended to educate as to the alternatives
available to the problems above. Please consult your medical doctor
for your
medical problems or concern you may have. It is best to tell your doctor that
you are embarking on a weight
loss programme.
I therefore I release the J.I.C.M. Center and its subsidiaries of any
liability arising from the use or miss
use of the program protocol. .My using
this program protocol is entirely at my own risk and is an indication that I
agreed
and accept the terms mentioned
above. Signed:-…………………………………………………………………………………Date
WHICH SYSTEMS NEED ATTENTION
Circulation Digestion Intestinal
Circulation Digestion Intestinal
Glandular nervous Respiratory
Immune Structural Urinary
Start by working on one or two beginning with the worst ones first . The product listed in each system above is the best genggeneral product .Follow the link and click on it to take you to the product.