By Author


of the The Nutritional Therapy Institute Clinic

(formerly The Recovery Systems Clinic)

The Quick Symptom Questionnaire

My goal in The Diet Cure is to stop your eating urges and weight problems, and eliminate your mood swings and negative obsessions about your body. But first we have to determine what is causing these problems.

Here is a questionnaire similar to the one you'll find in chapter one of the Diet Cure. It is a mini-version of the questionnaires that we use in our clinic. Its nine key sections will help you to identify the particular physical imbalances at the root of your problems. Click next to any symptom that applies to you and follow the instructions at the end of each section.

Within each popup you'll be directed to the corresponding chapters in the Diet Cure that explain exactly how to solve that particular problem. You'll also find suggestions for expediting the solution effort. We update these suggestions as new information, products, studies, and tests become available.

1. Is depleted brain chemistry the problem?

Sensitivity to emotional (or physical) pain; cry easily

Eat as a reward or for pleasure, comfort, or numbness

Worry, anxiety, phobia, or panic

Difficulty getting to sleep or staying asleep

Difficulty with focus, attention deficits

Low energy, drive, and arousal

Obsessive thinking or behavior

Inability to relax after tension, stress

Depression, negativity

Low self-esteem, lack of confidence

More mood and eating problems in winter or at the end of the day

Irritability, anger

Use alcohol or drugs to improve mood

Total Score: 0

If your score is over 10 click here.

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

Increased eating and weight gain after each diet?

Regain weight after dieting, more than was lost

Increased moodiness, irritability

Less energy and endurance

Usually eat less than 2,100 calories a day

Skip meals, especially breakfast

Eat mostly low-fat carbohydrates (bagels, pasta, frozen yogurt, and others)

Constantly think about weight

Use aspartame (Nutrasweet) daily

Have become vegetarian

Have decreased self-esteem

Have become bulimic or anorectic

Total Score: 0

If your score is over 12 click here.

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

Crave a lift from sweets or alcohol, but later experience a drop in energy and mood after ingesting them

Dizzy, weak, or headachy, especially if meals are delayed

Family history of diabetes, hypoglycemia, or alcoholism

Nervous, jittery, irritable on and off throughout the day; calmer after meals

Crying spells

Mental confusion, decreased memory

Heart palpitations, rapid pulse

Frequent thirst

Night sweats (not menopausal)

Sores on legs that take a long time to heal

Total Score: 0

If your score is over 12 click here.

4. Adrenals

Crave salty foods

Often feel stressed, overwhelmed

Burnout, fatigued

Dark circles under eyes

Get a second wind at night

Wake up between 2-4AM for 15 minutes or longer

Tired after exercise

Total Score: 0

If your score is over 8 click here.

5. Do you have unrecognized low thyroid function?

Low energy

Easily chilled (especially hands and feet)

Other family members have thyroid problems

Can gain weight without overeating; hard to lose excess weight

Have to force yourself to do even moderate exercise

Find it hard to get going in the morning

High cholesterol

Low blood pressure

Weight gain began near the start of menses, a pregnancy, or menopause

Chronic headaches

Use food, caffeine, tobacco, and/or other stimulants to get going

Total Score: 0

If your score is over 15 click here.

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

Crave milk, ice cream, yogurt, cheese, or doughy foods (pasta, bread, cookies, among others) and eat them frequently

Experience bloating after meals

Gas, frequent belching

Digestive discomfort of any kind

Chronic constipation and/or diarrhea

Respiratory problems, such as asthma, postnasal drip, congestion

Low energy or drowsiness, especially after meals

Allergic to milk products or other common foods

Undereat or often prefer beverages to solid food

Avoid food or throw up food because bloating after eating makes you feel fat or tired

Can't gain weight

Hyperactivity or manic-depression

Severe headaches, migraines

Food allergies in family

Total Score: 0

If your score is over 12 click here.

7. Are your hormones unbalanced?

Premenstrual mood swings

Premenstrual or menopausal food cravings

Irregular periods

Uncomfortable periods cramps, lengthy or heavy bleeding, or sore breasts

Peri- or postmenopausal discomfort (e.g., hot flashes, sweats, insomnia, or poor memory)

Males: Loss of motivation, muscle tone, sex drive

Skin eruptions with period

Use(d) birth control pills

Total Score: 0

If your score is over 6 click here.

8. Do you have yeast overgrowth triggered by anti-biotics, cortisone, or birth control pills?

Often bloated, distended abdomin



Yeast infections

Used antibiotics extensively (at any time in life)

Used cortisone or birth control pills for more than one year total

Have chronic fungus on nails or skin or athlete's foot

Recurring sinus or ear infections as an adult or child

Achy muscles and joints

Chronically fatigued


Stool unusual in color, shape, or consistency

Total Score: 0

If your score is over 13 click here.

9. Do you have fatty acid deficiency?

Crave chips, cheese,creamy foods, and other rich foods more than, or in addition to, sweets and starches

Have ancestry that includes Irish, Scottish, Welsh, Scandinavian, or coastal Native American

Alcoholism or depression in the family history

Feel heavy, uncomfortable, and clogged up after eating fatty foods

History of hepatitis or other liver or gallbladder problems

Light-colored stool

Hard or foul-smelling stool

Pain on right side under your rib cage

Total Score: 0

If your score is over 12 click here.


If section one's score is over 10, read chapters 1 and 9. To clarify and speed things up for you, we've summarized these chapters in the next quiz: "Which Brain Type are You?" It will help you quickly identify which of four key brain functions is causing your personal pattern of emotional eating. It will also point you to which amino acid supplements you can use to correct those problems in 24 hours! Suggested doses are included within each popup section of that quiz.

Click the button your pointer is on to go to the Brain Type Questionnaire or go ahead and finish this questionnaire and come back when you're done. Note: If you are sensitive to supplements or medications, try one quarter of the lowest suggested dose to start with. Stop taking any supplement that gives you any adverse reactions. Read the Master Nutritional Supplement plan, Chapter 17 of The Diet Cure, for more information.