HOW MANY OF THESE SYMPTOMS DO YOU EXPERIENCE?

If you experience any of the following symptoms, adjust the slider to the the level (from 1-10) in which these symptoms impact your day.

0 = I do NOT experience this at all

1  = Minimal effect/impact

5 =  Moderate

10 = Severely impacts your life

 

Energy

Fatigue

0

Sluggishness

0

Hyperactivity

0

Restlessness

0

Erratic energy

0

 

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