Parish Nurse Notes
Upcoming Events:
- Donate Blood, July 30th, Call the front office for details to donate.
- Get Your Legal Documents in Order, Bob Michael’s, Elder Law Attorney, October 5th 12:30 PM, Light Lunch provided
Are You Toxic?
- 0= Never or almost never have symptoms
- 1= Occasionally have it, effect is not severe
- 2= Occasionally have it, effect is severe
- 3= Frequently have it, effect is not severe
- 4= Frequently have it, effect is severePut a number next to each symptom you have to best describe the frequency and severity.
____ Nausea/Vomiting
____ Diarrhea
____ Constipation
____ Bloated feeling
____ Belching, or passing gas
____ Heartburn
____ Intestinal/stomach pain
____ Watery or itchy eyes
____ Swollen, reddened, or sticky eyelids
____ Bags or dark circles under eyes
____ Blurred or tunnel vision (not near/or far sightedness)
____ Difficulty in making decisions
____ Stuttering or stammering
____ Canker sores
____ Frequent illness
____ Itchy Ears
____ Ear aches, infections
____ Drainage from ear
____ Drainage from ear
____ Ringing in the ears
____ Headaches
____ Faintness
____ Dizziness
____ Insomnia
____ Chest congestion
____ Asthma, bronchitis
____ Shortness of breath
____ Difficult breathing
____ Slurred speech
____ Stuffy Nose
____ Sinus problems
____ Mood swings
____ Anxiety, fear or nervousness
____ Anxiety, fear or nervousness
____ Anger, irritability, aggression
____ Depression
____ Irregular/skipped heartbeat
____ Rapid or bounding heartbeat
____ Chest pain
____ Poor memory
____ Confusion, poor comprehension
____ Poor concentration
____ Poor physical coordination
____ Learning disabilities
____ Acne
____ Hives, rashes, or dry skin
____ fatigue, sluggishness
____ fatigue, sluggishness
____ Apathy, lethargy
____ Hyperactivity
____ Restlessness
____ Pain or ache in joint
____ Arthritis
____ Stiffness/limitation or movement
____ Pain or aching in muscles
____ Feeling of weakness or tiredness
____ Chronic coughing
____ Gagging, frequent need to clear the throat.
____ Sore throat
____ Swollen or discolored tongue, gum, lips
____ Binge Eating/drinking
____ Craving certain food
____ Hyperactivity
____ Restlessness
____ Pain or ache in joint
____ Arthritis
____ Stiffness/limitation or movement
____ Pain or aching in muscles
____ Feeling of weakness or tiredness
____ Chronic coughing
____ Gagging, frequent need to clear the throat.
____ Sore throat
____ Swollen or discolored tongue, gum, lips
____ Binge Eating/drinking
____ Craving certain food
(This is the Daniel Plan Screening and Toxicity Questionnaire. It is not to diagnose or treat an illness.)
