Step 1 of 6 16% Do you have an autoimmune disease you are aware of?*YesNo Please select each of the following symptoms you are experiencing?Check all that apply. Belching Bloating Constipation (less than 1-2 bowel movements a day) Diarrhea/loose stools Nausea or vomiting Gas Stomach pain, cramps, or intestinal spasms Heartburn or acid reflux Brain fog or difficulty concentrating None of These Which of these are true for you?Please select all that apply to you I have chemical sensitivities to things such as gasoline, fragrances, new furniture, etc. I have 1 or 2 MTHFR mutations I currently have or previously had silver fillings I have tested high in mercury, lead, or another heavy metal I eat packaged or processed foods at least 3 times a week I eat out at restaurants regularly (more than once a week) I eat fish on a regular basis I’ve recently replaced carpets or furniture, or made other home renovations I do NOT filter the air and water in your home I use drugstore or department store cosmetics None of these apply to me Are you currently experiencing or have you experienced any of the following in the last 30 days?Check all that apply Tired, sluggish, or chronic fatigue Frequent or chronic stress Feeling tired but wired Insomnia Sleep disturbances Dizziness upon standing Shakiness or lightheadedness Frequent headaches Anxiety I'm not experiencing any of these Are you currently experiencing or have you experienced any of the following in the last 30 days?Check all that apply Aching muscles Arthritis Joint pain Joint swelling Fibromyalgia I'm not experiencing any of these. How many hours of sleep do you get per night?*Less than 55-67-910 or moreAre you Male or Female*MaleFemalePrefer not to answerWhat is your age?*20 or younger21 - 3031 - 4041 - 50Over 50Prefer not to answerPhoneThis field is for validation purposes and should be left unchanged.