Diet_Cure_Questionnaire

Julia Ross's Diet Cure
Quick Symptom Questionnaire

Julia Ross says her goal in The Diet Cure book "is to stop your food cravings, address your eating and weight problems, and eliminate your mood swings and negative obsessions about your body." But first, she says you need to determine what is causing these problems.

Below is a questionnaire similar to the one she administers at her clinic. Its eight key sections will help you to identify your particular physical imbalances.

Each question is worth a maximum possible of between two and five points. That number is already shown in the answer box. If a symptom does not apply to you, type a zero over that number. If it applies a little to you, enter a number that is less then the maximum number in the box. (The maximum points is also shown in parenthesis at the end of each question.) As you enter your scores, the total for that section will adjust automatically. There's also a section at the end where you can enter all your section totals.

For each section there are corresponding chapters in the Diet Cure that will tell you exactly what to do to correct your imbalances and clear away your symptoms.

To go to the Diet Cure homepage, click here.

To order a brand new copy of this book, you can click here and order it from Amazon.com

1. Is depleted brain chemistry the problem?

01. Sensitivity to emotional (or physical) pain; cry easily (4)
02. Eat as a reward or for pleasure, comfort, or numbness (4)
03. Worry, anxiety, phobia, or panic (4)
04. Difficulty getting to sleep or staying asleep (4)
05. Difficulty with focus, attention deficits (3)
06. Low energy, drive, and arousal (2)
07. Obsessive thinking or behavior (4)
08. Inability to relax after tension, stress (4)
09. Depression, negativity (3)
10. Low self-esteem, lack of confidence (4)
11. More mood and eating problems in winter or at the end of the day (4)
12. Irritability, anger (3)
13. Use alcohol or drugs to improve mood (4)

Total Score If your score is over 10, please turn to chapter 1.

2. Are you suffering because of low-calorie dieting?

01. Increased cravings for and focus on food; overeating (4)
02. Regain weight after dieting, more than was lost (4)
03. Increased moodiness, irritability, anxiety, or depression (3)
04. Less energy and endurance (3)
05. Usually eat less than 2,100 calories a day (3)
06. Skip meals, especially breakfast (3)
07. Eat mostly low-fat carbohydrates (bagels, pasta, frozen yogurt, etc.) (3)
08. Constantly think about weight (2)
09. Use aspartame (Nutrasweet) daily (2)
10. Take Prozac or similar serotonin-boosting drugs (2)
11. Have become vegetarian (2)
12. Have decreased self-esteem (3)
13. Have become bulimic or anorectic(4)

Total Score If your score is over 12, please turn to chapter 2.

3. Are you struggling with blood sugar instability and stress?

01. Crave a lift from sweets or alcohol, but later experience a drop in energy and mood after ingesting them (4)
02. Dizzy, weak, or headachy, especially if meals are delayed (3)
03. Family history of diabetes, hypoglycemia, or alcoholism (4)
04. Nervous, jittery, irritable on and off through the day; calmer after meals (3)
05. Crying spells (3)
06. Mental confusion, decreased memory (3)
07. Heart palpitations, rapid pulse (3)
08. Frequent thirst (4)
09. Night sweats (not menopausal) (3)
10. Sores on legs that take a long time to heal (5)
11. Crave salty foods (4)
12. Often feel stressed, overwhelmed (4)
13. Dark circles under eyes (4)
14. More awake at night (4)

Total Score If your score is over 12, please turn to chapter 3.

4. Do you have unrecognized low thyroid function?

01. Low energy (4)
02. Easily chilled (especially hands and feet) (4)
03. Other family members have thyroid problems (4)
04. Can gain weight without overeating; hard to lose excess weight (4)
05. Have to force yourself to do even moderate exercise (3)
06. Find it hard to get going in the morning (4)
07. High cholesterol (3)
08. Low blood pressure (3)
09. Weight gain began near the start of menses, a pregnancy, or menopause (4)
10. Chronic headaches (3)
11. Use food, caffeine, tobacco, and/or other stimulants to get going (3)

Total Score If your score is over 15, please turn to chapter 4.

5. Are you addicted to foods you are actually allergic to?

?1. Crave and eat frequently milk, ice cream, yogurt, cheese, or doughy foods (pasta, bread, cookies, etc.)(3)
02. Experience bloating after meals (3)
03. Gas, frequent belching (4)
04. Digestive discomfort of any kind (3)
05. Chronic constipation and/or diarrhea (3)
06. Respiratory problems, such as asthma, postnasal drip, congestion (4)
07. Low energy or drowsiness, especially after meals (3)
08. Allergic to milk products or other common foods (4)
09. Undereat or often prefer beverages to solid food (3)
10. Avoid food or throw up food because bloating after eating makes you feel fat or tired (3)
11. Can't gain weight (4)
12. Hyperactivity or manic-depression (3)
13. Severe headaches, migraines (3)
14. Food allergies in family (4)

Total Score If your score is over 12, please turn to chapter 5.

6. Women: Are your hormones unbalanced?

01. Premenstrual mood swings (4)
02. Premenstrual or menopausal food cravings (4)
03. Irregular periods (4)
04. Experienced a miscarriage, an abortion, or infertility (3)
05. Use(d) birth control pills or other hormone medication (4)
06. Uncomfortable periods cramps, lengthy or heavy bleeding, or sore breasts (3)
07. Peri- or postmenopausal discomfort (e.g., hot flashes, sweats, insomnia, or mental dullness) (4)
08. Skin eruptions with period (3)

Total Score If your score is over 6, please turn to chapter 6.

Note: Some men experience male menopause as a result of hormonal imbalance. Men, please see the box on page 79 if you are experiencing weight gain and emotional stress.

7. Do you have yeast overgrowth triggered by anti-biotics, cortisone, or birth control pills?
01. Often bloated, abdominal distention (4)
02. Foggy-headed (3)
03. Depressed (2)
04. Yeast infections (4)
05. Used antibiotics extensively (at any time in life) (4)
06. Used cortisone or birth control pills for more than one year (4)
07. Have chronic fungus on nails or skin or athlete's foot (4)
08. Recurring sinus or ear infections as an adult or child (3)
09. Achy muscles and joints (3)
10. Chronically fatigued (3)
11. Rashes (4)
12. Stool unusual in color, shape, or consistency (3)

Total Score If your score is over 13, please turn to chapter 7.