Medical Symptoms Questionaire
The Medical Symptoms Questionaire (MSQ) is an assessment tool to help you score any symptoms in your body and come up with an overall score. Based on your score and what systems of your body have the most points, you can quickly find out where your health stands and what systems you need to work on to restore and optimize your health. This questionnaire can give you insights and can be a first step toward achieving your goal of living a long, healthy and zestful life.
Here’s how this assessment works:
- 1. Click the link below and start scoring your different symptoms based on the 4 point scale described.
- 2. It will tally your overall score
- 3. People in optimal health typically score less than 25 for a total score
- 4. If you have scored higher than 25 and are interested in learning how our team can help you restore and optimize your health, then click the link below and schedule a free talk with one of us.


Medical Symptoms Questionaire
For this questionaire, rate each of the following symptoms based upon your health profile for the past 14 days
Point scale:
0 - Never or almost never have the symptom
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 severe
Head
Headaches | Faintness |
Dizziness | Insomnia |
Eyes
Watery or Itchy Eyes | Swollen, reddened or sticky eyelids |
Bags or dark circles under eyes |
Blurred or tunnel vision (Does not include near or far sightedness) |
Ears
Itchy ears | Earaches, ear infections |
Drainage from ear | Ringing in ears, hearing loss |
Nose
Stuffy nose | Sinus problems |
Hay fever | Sneezing attacks |
Excessive mucus formation |
Mouth/Throat
Chronic coughing | Gagging, frequent need to clear throat |
Sore throat, hoarseness, loss of voice | Swollen or discolored tounge, gum, lips |
Canker sores |
Skin
Acne | Hives, rashes, dry skin |
Hair loss | Flushing, hot flashes |
Excessive sweating |
Heart
Irregular or skipped heart beat | Rapid or pounding heartbeat |
Chest pain |
Lungs
Chest congestion | Asthma, bronchitis |
Shortness of breath | Difficulty breathing |
Digestive tract
Nausea, vomiting | Diarrhea |
Constipation | Bloated feeling |
Belching, passing gas | Heartburn |
Intestinal/stomach pain |
Joints/Muscle
Pain or aches in joints | Arthritis |
Stiffness or limitation of movement | Pain or aches in muscles |
Feeling of weakness or tiredness |
Weight
Binge eating/drinking | Craving certain foods |
Excessive weight | Compulsive eating |
Water retention | Underweight |
Energy/Activity
Fatigue/slugishness | Apathy/legarthy |
Hyperactivity | Restlessness |
Mind
Poor memory | Confusion, poor comprehension |
Poor concentration | Poor physical coordination |
Difficulty in making decisions | Stutter or stammering |
Slurred speech | Learning disabilities |
Emotions
Mood swings | Anxiety, fear, nervousness |
Anger, irritability, aggressiveness | Depression |
Other
Frequent illness | Frequent or urgent urination |
Genital itch or discharge |
Done!
You scored 0.
Your score indicates that you could greatly improve your life and health through the use of Dr. Trish Murrays DENT program.
Your score indicates that you are relatively healthy! You could still benefit through use of Dr. Trish Murrays programs however. Take a look at her free videos!
Your score indicates that you are very healthy! You could still benefit through use of Dr. Trish Murrays programs however. Take a look at her free videos!
0 - Never or almost never have the symptom
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 severe