Contact Phone Number
Contact Phone Number
Symptoms you would like to resolve
Are you experiencing any chronic illness or disease? If so, please tell us:
Please tell us your year of birth:
Your Detoxification Pathways
This will help you determine which of your pathways of elimination may be insufficient. For each body system section, please check each box if the listed symptom has applied to you within the last 6 months.
Step 2: Your Total Toxic Load
Add the totals of all your systems above and select the appropriate choice below. This would be the second step after any necessary pre-cleanse.
Less than 10: Your body is healthy and cleansing is not necessary at this time.
11-20: A homeopathic detoxification cleanse would be the perfect option for you at this time.
More than 20: You will benefit from a 3 week comprehensive purification program.
Step 3: Special Cleansing Requirements
Based on lifestyle factors, occupation hazards, food choices and levels of stress, there may be special additions to your cleansing process that are essential.
This may include:
* Anti-pathogenic herbs for bacteria, fungus, virus or parasites.
* Heavy metal detoxification
* Cleansing for endocrine disruptors
* Chemical neutralization
* Systemic Enzyme Enhancement
Do you use pesticides in your home?
Have you recently done any painting?
Do you use nail polish, perfume or hairspray?
Are you exposed to diesel fumes, exhaust fumes or gasoline fumes?
Does your home regularly have moth balls, smoke, woodstove use, incense or varnish?
Have you been exposed to mold?
Do you have pets that live in the house with you?
Do you drink unfiltered tap water, energy drinks or soda?
Do you have chronic eye symptoms like itchiness, redness, watering, swelling, blurriness or dark circles?
Do you have chronic ear symptoms like itchiness, drainage, ringing, hearing loss, earaches or infections?
Do you get headaches, dizziness or faintness?
Doi you have poor memory, confusion, poor concentration, poor coordination, stuttering or difficulty making decisions?
Do you have tics, restless legs, hyperactivity or are easily startled?
Do you experience mood swings, anxiety, depression, fear or anger on a regular basis?
Are you regularly tired or fatigued?
Do you have chronic trouble sleeping and waking rested?
Do you have chronic muscle, joint or organ pain?
Have you gained or lost more than 20 pounds in the last year?
Do you crave sugar, salt or carbohydrates?
Do you have more than 2 alcoholic drinks in a week?
Are you more than 35 pounds overweight?
Have you had more than 3 illnesses in the last year?
Have you lost a loved one or experienced a broken relationship in the last 6 months?
Have you changed jobs or living situations in the last 6 months?
I would like to discuss the results of my assessment!
Please let us know how one of our Naturopathic Physicians can contact you:
Please contact me by email
Please contact me by phone
Please do not contact me at this time
This is the first step to resolving your symptoms. We have helped thousands of people with personally-designed cleanse programs for many years.
We look forward to answering your questions and helping you find the best cleanse option!