For each question CIRCLE the number that best applies to your experience with that symptom over the past 3 months.

0 - Never or rarely – It is rare to experience this symptom.

1 - Occasionally – Once in awhile you may experience this – maybe once or twice a month.

2 - Often – You experience this 1-2 times a week, enough that it bothers you.

3 - Regularly – You are constantly aware of this as it occurs almost every day or weekly.

33. Dizziness

34. Dry skin

35. Unexplained itching skin

36. Pain, tenderness or discomfort under right rib cage

37. Burning feet

38. Blurred vision

39. Floaters in eyes

40. Excessive falling hair

41. Bitter, metallic taste in mouth in morning

42. Feeling Nauseous; headache over eyess

43. Greasy foods upset

44. Stools light-colored

45. Skin peels on foot soles

46. Pain between shoulder blades

47. Sneezing attacks

48. Dreaming, nightmare type bad dreams

49. Sensitive to hot weather

50. Hemorrhoids

51. Brown spots on skin

52. Night sweats

53. History of gallbladder attacks or gallstones

Total Score for Group 3