Assessments to date

Caffeine: cups of coffee, tea or energy drinks per day

Nicotine

In what form?

Alcohol

Other substances, including cannabis

Have you had an accident with whiplash, a fall on your head or a concussion?

What is recurrently or permanently inflamed in your case?

Which complaints do you have regularly?

Is or was there mould in your home or at your workplace?

Do or did you have regular contact with solvents or pesticides, at work or in your leisure time?

You live in …

Do you tolerate certain foods poorly?

Which sources are possible in your case?

Has heavy-metal elimination been carried out?

Are or were your joints noticeably hypermobile?

Do you remember a tick bite?

Have you ever had a blood transfusion?

Have you had iron infusions?

Do you react to fragrances, cleaning products or exhaust fumes?

Do you react to many foods or medicines with skin flushing, itching, a racing heart or diarrhoea?

How many medicines do you take regularly?

How many food supplements do you take regularly?

Your medicines

Are you receiving psychotherapeutic or psychiatric treatment?

How many operations have you had so far, including in childhood?

For women: have you had a caesarean section?

Do you have large scars from accidents or burns?

Did the complaints begin or get worse after an operation or injury?

Are you known to snore or to have pauses in breathing?

Do you have root-canal-treated (dead) teeth?

Do you have or have you had amalgam or gold fillings?

Do you have implants, crowns, bridges or other metals in your mouth?

Have wisdom teeth been surgically removed?

When was the last panoramic dental X-ray taken?

Did the complaints begin or get worse after a vaccination?

Have you had desensitisation by injection?