Intestinal Permeability Screening Questionnaire

1. Do you experience digestive issues such as bloating, gas, diarrhea, or constipation on a regular basis?

2. Do you have food sensitivities or intolerances (such as to gluten, dairy, or other common foods)?

3. Do you suffer from seasonal allergies, asthma, or other respiratory conditions?

4. Have you been diagnosed with an autoimmune condition (such as rheumatoid arthritis, Hashimoto's thyroiditis, or celiac disease)?

5. Do you experience skin problems such as acne, rosacea, eczema, or unexplained rashes?

6. Do you regularly consume processed foods, refined sugars, or sweetened snacks?

7. Do you experience frequent fatigue or energy crashes during the day?

8. Do you have difficulty concentrating or experience "brain fog"?

9. Have you taken multiple courses of antibiotics in the past few years?

10. Do you regularly consume alcohol (more than 3-4 drinks per week)?