Symptom List

 

Before taking Vibes please check off any symptoms you have, using this convenient list. Write the date at the top of the list and put in an envelope which you will open later.  After taking Vibes for six (6) weeks, retake this self-evaluation. Compare the two lists and see what your results are. 

___ Abdominal pain           

___ Acne                            

___ ADD/ADHD                 

___ Adrenal glands            

___ Allergies                      

___ Alzheimer’s                

___ Anemia                       

___ Anger                          

___ Anxiety                        

___ Appetite                       

___ Arteriosclerosis            

___ Arthritis                        

___ Asthma                       

___ Back pain                     

___ Bad breath                   

___ Bed wetting                  

___ Bell’s Palsy                   

___ Black, tarry stools        

___ Bladder                        

___ Bloating                         

___ Blood in urine                

___ Blood pressure HIGH    

___ Blood pressure LOW     

___ Blurred vision                 

___ Boils                               

___ Bones                             

___ Breathing                        

___ Bronchitis                        

___ Bruises                           

___ Burns                               

___ Cancer                             

___ Candida                           

___ Canker sores

___ Carpal Tunnel Syndrome

___ Cataracts

___ Chest congestion

___ Chest pain

___ Cholesterol

___ Cold-Common

___ Cold-Temperature

___ Colic

___ Colon

___ Constipation

___ Coordination  

___ Cough

___ Cravings

___ Dandruff

___ Depression

___ Diabetes

___ Diarrhea 

___ Digestion

___ Dizzy spells

 

___ Ear infection

___ Ear ringing

___ Edema

___ Emphysema

___ Epilepsy

___ Eyesight

___ Fatigue

___ Fertility

___ Fever

___ Flu

___ Frequent-urgent urination

___ Gallstones

___ Gangrene

___ Gas

___ Glaucoma

___ Gout

___ Gums

___ Hair issues

___ Heartburn

___ Heart murmur  

___ Headaches

___ Hemorrhoids

___ Herpes

___ Hiatal hernia

___ Hives

___ Hormones

___ Hyperactive

___ Hypertension

____  Hyper/hypothyroidism

___ Impotence

___ Incontinence

___ Indigestion

___ Insomnia

___ Intolerance of heat or cold

___ Jaundice

___ Joint pain

___ Kidney issues

___ Kidney stones

___ Laryngitis

___ Leukemia

___ Liver

___ Loss of balance

___ Lung issues

___ Lupus

___ Lymph glands

___ Memory loss/confusion

___ Menopause

___ Menstrual cramps

___ Migraines

___ Mononucleosis

___ Mouth sores

___ Nails

TODAY'S DATE:

 

__________________

 

___ Nausea

___ Nervousness

___ Night sweats

___ Nose bleeds

___ Parasites

___ Parkinson’s

___ Perspiration

___ PMS/Perimenopausal

___ Pneumonia

___ Polyps

___ Pregnancy

___ Prostate

___ Psoriasis

___ Rash

___ Rectal bleeding

___ Regurgitation

___ Reproductive

___ Respiratory

___ Rheumatism

___ Ring worm

___ Seizures

___ Shingles

___ Shortness of breath

___ Sinus

___ Skin issues

___ Snoring 

___ Sore throat

___ Speech difficulties

___ Spitting up blood

___ Stomach

___ Stress

___ Stroke

___ Sty

___ Swelling of ankles/feet

___ Swollen glands

___ Teething

___ Tennis Elbow

___ Tonsillitis

___ Tumors

___ Ulcers

___ Urinary issues

___ Varicose veins  

___ Vertigo

___ Weight-OVERWEIGHT

___ Weight-UNDERWEIGHT

___ Weight-RECENT CHANGES

___ Wheezing

___ Yeast Infections

 

 

'This list has not been evaluated by the Food and Drug Administration and is not intended to diagnose, treat, cure, or prevent any disease. This is a self-evaluation for educational purposes.