SWI: THYROID DEFECIENCY TEST

THYROID DEFECIENCY TEST

Name:

Birth of date: Month / Day / Year

Email:

Contact No.:

Skype No.:

Address:





Signs and symtoms


1. I'm sensitive to cold

Never Sometimes Regular Often Constantly


2. My hands and feet are always cold

Never Sometimes Regular Often Constantly


3. In the morning my face is puffy and my eyelids are swollen

Never Sometimes Regular Often Constantly


4. I put on weight easily

Never Sometimes Regular Often Constantly


5. I have dry skin

Never Sometimes Regular Often Constantly


6. I have trouble getting up in the morning

Never Sometimes Regular Often Constantly


7. I feel more tired at rest then when I'm active

Never Sometimes Regular Often Constantly


8. I am constipated

Never Sometimes Regular Often Constantly


9. My joints are stiff in the morning

Never Sometimes Regular Often Constantly


10. I feel like I'm living in slow motion

Never Sometimes Regular Often Constantly