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Nutrient Survey Symptomatic Survey Results
Sample
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This is an example Nutrient Survey Symptomatic Survey Results page. In addition to this page, for all areas that are severe or moderate, a Symptomatic Survey Check Sheet will print giving recommendations for those areas.
| Symptomatic Survey Results |
|---|
| Prepared exclusively for JOHN Q. SMITH on January 1, 2001 |
| Report Prepared By: |
| Your Company |
| 123 Any Street |
| Phoenix, AZ 85123 |
| (602) 555-1234 |
| The following evaluation is based on the answers you gave to |
| the Nutrient Survey questions. It is designed to guide you in |
| understanding your nutrient needs as indicated by current symptoms. |
| Its purpose is not to diagnose or prescribe for any disease or |
| condition. It is advisable to consult your physician or health |
| care practitioner before starting any type of nutritional program. |
| THE ANSWERS YOU GAVE INDICATE THE FOLLOWING NUTRIENT LEVELS: |
| Candida Albicans Involvement ............ SEVERE INVOLVEMENT |
| Digestion - Hydrochloric Acid ........... SEVERE DEFICIENCY |
| Eliminative System ...................... SEVERE UNDERFUNCTIONING |
| Vitamin C, Bioflavanoid Complex ......... SEVERE DEFICIENCY |
| Adrenal Function ........................ MODERATE UNDERFUNCTIONING |
| Liver-Gallbladder Function .............. MODERATE UNDERFUNCTIONING |
| Lysine .................................. MODERATE DEFICIENCY |
| Pancreas Function ....................... MODERATE UNDERFUNCTIONING |
| Parasite Involvement .................... MODERATE INVOLVEMENT |
| Thyroid Function ........................ MODERATE UNDERFUNCTIONING |
| Calcium ................................. NORMAL LEVEL |
| Cardio-Vascular System .................. NORMAL LEVEL |
| Digestion - Sodium in Stomach ........... NORMAL LEVEL |
| Fat Utilization ......................... NORMAL LEVEL |
| Iron .................................... NORMAL LEVEL |
| Kidney-Bladder Function ................. NORMAL LEVEL |
| Magnesium ............................... NORMAL LEVEL |
| Nervous System .......................... NORMAL LEVEL |
| Potassium ............................... NORMAL LEVEL |
| Respiratory System ...................... NORMAL LEVEL |
| Vitamin A ............................... NORMAL LEVEL |
| Vitamin B Complex ....................... NORMAL LEVEL |
| Vitamin B-12 ............................ NORMAL LEVEL |
| Vitamin B-6 ............................. NORMAL LEVEL |
| Vitamin C ............................... NORMAL LEVEL |
| Vitamin D ............................... NORMAL LEVEL |
| Vitamin E ............................... NORMAL LEVEL |
| Zinc .................................... NORMAL LEVEL |
| Copyright © 1996-2008 Sunshine Support |
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