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Nutrition Questionnaire Module

     This questionnaire module will screen your food intake behaviours for eating habits that tend to increase pain. It also checks for several other factors necessary for good health. For instance, your fibre intake and your water intake. When numbers are put to your behaviours then it is easier to see how to make the changes and where to make the changes.

6.     Digestion
8.     Fibre
9.     Water
10.   Food Groups
11.   Junk Food
12.   Osteoporosis
13.   Dairy Food
14.   Wheat Food

 
Digestion
Why take this questionnaire? This questionnaire screens your symptoms and eating habits for abnormalities. There are certain things that we know. This questionnaire puts numbers to any digestive problems you may be having right now.
(Note: This questionnaire is available in paper format only in our clinic. Visit the clinic to take it.)

 
Eating Behaviours
Why take this questionnaire? We all have to eat. But there are difference ways to eat. Some can be good, some can be bad. This questionnaire helps us understand what you are doing right now.
(Note: This questionnaire is available in paper format only in our clinic. Visit the clinic to take it.)

 
Fibre
Why take this questionnaire? We all know we should be eating adequate fibre. Most people just don’t know how much is adequate. Fibre helps to cholesterol down and helps people keep healthy intestines. This questionnaire helps us get a handle on your fibre intake.
(Note: This questionnaire is available in paper format only in our clinic. Visit the clinic to take it.)

 
Water
Why take this questionnaire? We can only go three days without water. Becoming dehydrated will surely make you sick. This questionnaire measures your water intake.
(Note: This questionnaire is available in paper format only in our clinic. Visit the clinic to take it.)

 
Food Groups
Why take this questionnaire? Everyone knows variety of foods is important. But, everyone does not follow the rules. This questionnaire puts  numbers to the types of foods you.
(Note: This questionnaire is available in paper format only in our clinic. Visit the clinic to take it.)

 
Junk Food
Why take this questionnaire? We all eat junk food. How much of it we eat is the key. This questionnaire measures your junk food intake.
(Note: This questionnaire is available in paper format only in our clinic. Visit the clinic to take it.)

 
Osteoporosis
Why take this questionnaire? Everyone has heard about osteoporosis and how devastating it can be. Certain types of behaviours and certain types of foods put you at much higher risk to developing this problem when you are older. This questionnaire measures those behaviours so you can modify these risk factors.
(Note: This questionnaire is available in paper format only in our clinic. Visit the clinic to take it.)

 
Dairy Food
Why take this questionnaire? A lot of people think dairy foods are good for you. We think they're quite bad for you. This questionnaire measures your food intake so we can ask you to modified it when you are in pain.
(Note: This questionnaire is available in paper format only in our clinic. Visit the clinic to take it.)

 
Wheat Food
Why take this questionnaire? Wheat is probably the single most common food that creates problems in the vast majority of people. There are several reasons why wheat is not good for humans. This questionnaire measures your wheat intake so we can teach you how to modify this eating habits and reduce a lot of pain.
(Note: This questionnaire is available in paper format only in our clinic. Visit the clinic to take it.)