Heart_nerve Questionnaire
Methylation is an intracellular, metabolic process that supports thousands of body functions via chemical reactions including turning stress on and off, neutralizing genes that express diseases, and detoxification. Methyl donors help regulate methylation processes that control neurotransmitters, immunological responses, nerve function, and detoxification. A lack of methyl molecules (CH3) in the body is an underlying cause of hundreds of symptoms and directly relates to the aging processes.

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* Name & Surname
* Telephone
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For each statement that applies to you, enter a ' X '.

1.
Type A personality, perfectionistic, driven, obsessive, compulsive?
2.
Impulsive? Do you have impulses to do things that you know you shouldn't?
3.
If more than three brothers/sisters, are most of your siblings males?
4.
Large ears?
5.
Second toe as long or longer than your big toe?
6.
Do you need large doses of supplements or medications to get an impact?
7.
Do you struggle with excessive sugar, alcohol or drug use?
8.
Does your mind race? Hyperactive?
9.
Inwardly tense? Oppositional Defiance?
10.
Respiratory allergies? Asthma? Histamine reactions? Hives? Histadelia? Inhalant allergies?
11.
High sex drive, excessive libido? Easy to reach orgasm?
12.
Depression? Thoughts of suicide?
13.
Insomnia? Not need much sleep? Light sleeper?
14.
Headaches, chronic?
15.
Easily become aggressive?
16.
Need to eat frequently?
17.
Dry, cracked fingers, fingertips, heels?
18.
Chicken skin, areas of fatty bumps, lipomas?
19.
Dandruff?
20.
Neurological, brain, or nerve concerns?
21.
High libido (lhigh sex drive?)
22.
High salivary flow? High tear flow.
23.
Anxiety? Depression? Panic disorder? Phobias? Gambling/shopping disorder?
24.
Smoke tobacco?