Root Cause Analysis

Take The RCA Quiz Now

Click the 'Start' button below to begin your free root cause analysis. Rest assured, your information is secure and confidential with us. The quiz is quite thorough, taking between 15 minutes to an hour to complete. We delve deep to get to the root cause of your issues, requiring detailed information for accurate analysis. While it may take some time, the insights you'll gain will make it well worth the effort.

1. 

What are your main concerns?

2. 

Have you had these problems treated before? Did anything change? Were your blood tests normal? Did you feel heard?

3. 

Biological Gender

Female

Male

4. 

[IMMUNE SYSTEM HEALTH]

Have you ever been diagnosed with an autoimmune disease?

Yes

No

5. 

[IMMUNE SYSTEM HEALTH]

Have you developed allergies or intolerances later in life or seasonal allergies such as hayfever?

Yes

No

6. 

[IMMUNE SYSTEM HEALTH]

Have you ever been diagnosed with a virus? When were you diagnosed? (i.e. Mono, Epstein-Barr, Herpes, chickenpox/shingles, mumps?)

7. 

[IMMUNE SYSTEM HEALTH]

When stressed, do you experience: cold sores, hives, shingles, post nasal drip, nasal congestion, chronic fatigue or any other symptom?

8. 

[HORMONE HEALTH]

Any sleep disturbances?

9. 

[HORMONE HEALTH]

When you wake up in the morning do you feel energized or do you feel you want to sleep longer?

10. 

[HORMONE HEALTH]

Do you feel tired regardless the amount of hours you sleep?

Yes

No

11. 

[HORMONE HEALTH]

Do you get cravings for sugar OR salt? Please specify

Sugar cravings

Salt cravings

No cravings

12. 

[HORMONE HEALTH]

Do you have difficulty losing and/or gaining weight regardless of diet/exercise regimen you follow?

Yes

No

13. 

[THYROID HEALTH]

Do you get cold hands/feet?

Yes

No

14. 

[THYROID HEALTH]

Do you easily gain weight?

Yes

No

15. 

[THYROID HEALTH]

Do you experience constipation?

Yes

No

Occasionally

16. 

[THYROID HEALTH]

Do you have history of high cholesterol?

Yes

No

17. 

[THYROID HEALTH]

Did your doctor test for TSH, T3, T4 and antibodies?

Non applicable

TSH

T3

T4

Antibodies

18. 

[THYROID HEALTH]

Has your doctor investigated your gut and immune health?

Yes

No

19. 

[ESTROGEN (for females)]

Have you ever been diagnosed with any of the following; (If you are a male please skip this question by pressing next)

PCOS

Fibroids

Endometriosis

No

20. 

[ESTROGEN (for females)]

Do you have history of migraines? (If you are a male please skip this question by pressing next)

Yes

No

21. 

[ESTROGEN (for females)]

Do you experience any of the following; (If you are a male or the answer is no please press next)

Hair loss

Low sex drive

Hot flashes

22. 

[ESTROGEN (for females)]

What age did you get your first period? (If you are a male please skip this question by pressing next)

23. 

[ESTROGEN (for females)]

What was the flow of that first period like? (If you are a male please skip this question by pressing next)

Clotting

Heavy

Light

24. 

[ESTROGEN (for females)]

Do you get hives around your cycle? (If you are a male please skip this question by pressing next)

Yes

No

Occasionally

25. 

[ESTROGEN (for females)]

Have you experienced irregular menstrual cycles? (If you are a male please skip this question by pressing next)

Yes

No

26. 

[ESTROGEN (for females)]

Are you getting hair in unwanted places, face, chin, body? (If you are a male please skip this question by pressing next)

27. 

[ESTROGEN (for females)]

If in menopause, what age did that begin? (If you are a male please skip this question by pressing next)

28. 

[BLOOD SUGAR HEALTH]

Have you ever been diagnosed with Diabetes?

Yes

No

29. 

[BLOOD SUGAR HEALTH]

Do you frequently get thirsty?

Yes

No

Sometimes/Not sure

30. 

[BLOOD SUGAR HEALTH]

Do you frequently feel the urge to urinate? Do you feel tired/fatigued after a meal? OR Do you feel energized after a meal?

31. 

[BLOOD SUGAR HEALTH]

Do you feel "hangry" in the morning before breakfast? (Hungry and angry)

Yes

No

Sometimes/Not sure

32. 

[TESTOSTERONE (for males)]

Do you urinate frequently and/or have difficulty urinating? (If you are a female please skip this question by pressing next)

Yes

No

33. 

[TESTOSTERONE (for males)]

Do you suffer from baldness? (If you are a female please skip this question by pressing next)

Yes

No

34. 

[TESTOSTERONE (for males)]

Do you have difficulty gaining muscle weight when working out? (If you are a female please skip this question by pressing next)

Yes

No

35. 

[TESTOSTERONE (for males)]

Do you have difficulty losing weight? (If you are a female please skip this question by pressing next)

Yes

No

36. 

[TESTOSTERONE (for males)]

Do you experience low sex drive? (If you are a female please skip this question by pressing next)

Yes

No

Sometimes

37. 

[DIGESTION]

Do you experience gas and/or bloating after eating?

Yes

No

Sometimes

38. 

[DIGESTION]

How do you feel after taking probiotics? Any problems?

39. 

[DIGESTION]

Have you been diagnosed with stomach ulcers or gastritis? SIBO (Small Intestinal Bacterial Overgrowth)? Candida? Depression? ADHD?

40. 

[DIGESTION]

Do you experience skin itching/irritation frequently?

Yes

No

41. 

[DIGESTION]

Have you recently been experiencing food sensitivity/allergies to food not previously experienced?

Yes

No

42. 

[DIGESTION]

Do you have any skin conditions? (i.e. psoriasis, eczema, rosacea, acne, etc.)

Yes

No

43. 

[DIGESTION]

Do you tolerate alcohol badly?

Yes

No

44. 

[DIGESTION]

How do you feel after taking Kombucha tea?

45. 

[TRIGGERS, ALLERGENS, EXPOSURES]

Have you lived in, worked in or travelled to a space with mold (past or present)? If so, when and for how long were you exposed?

46. 

[TRIGGERS, ALLERGENS, EXPOSURES]

Do you have white spots (no pigmentation or low pigmentation) on the skin?

Yes

No

Not sure

47. 

[TRIGGERS, ALLERGENS, EXPOSURES]

Do you have any reactions to foods? (Eg. Dizziness, nausea, diarrhoea, skin irritation, discomfort)

48. 

[TRIGGERS, ALLERGENS, EXPOSURES]

Do you get red cheeks when drinking alcohol?

Yes

No

49. 

[TRIGGERS, ALLERGENS, EXPOSURES]

Are you sensitive to light, smells, chemicals, medications or sound? If so, what is the response you have and to what?

50. 

[TRIGGERS, ALLERGENS, EXPOSURES]

Are any health conditions, experiences (traumatic, childhood, food triggers or other) not previously listed on this form?

51. 

[TRIGGERS, ALLERGENS, EXPOSURES]

Do you experience problems with: Tick all that apply even if its just been one time

Coffee

Dairy

Green Tea

Red Wine

Grapes

Mushrooms

Dark Chocolate

Apple Cider Vinegar

52. 

[TRADITIONAL MEDICINE]

List of your current medications you are taking

53. 

[TRADITIONAL MEDICINE]

What do you take these medications for?

54. 

[TRADITIONAL MEDICINE]

Do they help alleviate symptoms?

Yes

No

Sometimes

55. 

[TRADITIONAL MEDICINE]

Do they create new symptoms? If so, what?

56. 

[ALTERNATIVE MEDICINE]

List of supplements you are currently taking

57. 

[ALTERNATIVE MEDICINE]

What do you take these supplements for?

58. 

[ALTERNATIVE MEDICINE]

Do they alleviate symptoms?

Yes

No

Sometimes

59. 

[ALTERNATIVE MEDICINE]

Do they create new symptoms? If so, what?

60. 

[SURGERIES]

Any history of surgeries? If so when? Why was this performed?

61. 

[TIMELINE]

Were you a natural birth or C- section?

Yes

No

Not sure

62. 

[TIMELINE]

Were you breast or bottle fed?

Bottle fed

Breast fed

Not sure

63. 

[TIMELINE]

Were you sick as a child? Did you get fevers or allergies when sick?

64. 

[TIMELINE]

Did you have recurrent sore throats, ear infections or stuffy nose growing up?

Yes

No

65. 

[TIMELINE]

Do you get sick now when stressed? Are these infections treated with antibiotics or other treatments?

66. 

[TIMELINE]

It is important to know when and in what order things occurred to get to the underlying cause. Please list in chronological order (from your birth to today) any other information you have not put in this form or may have forgotten. No item is too unimportant.

67. 

[Adverse Childhood Experience (ACE) Questionnaire]

Did a parent or other adult in the household often: Swear at you, insult you, put you down, or humiliate you? Or Act in a way that made you afraid that you might be physically hurt?

Yes

No

68. 

[Adverse Childhood Experience (ACE) Questionnaire]

Did a parent or other adult in the household often: Push, grab, slap, or throw something at you? Or Ever hit you so hard that you had marks or were injured?

Yes

No

69. 

[Adverse Childhood Experience (ACE) Questionnaire]

Did an adult or person at least 5 years older than you ever: Touch or fondle you or have you touch their body in a sexual way? Or Attempt or actually have oral, anal, or vaginal intercourse with you?

Yes

No

70. 

[Adverse Childhood Experience (ACE) Questionnaire]

Did you often feel that: No one in your family loved you or thought you were important or special? Or Your family didn’t look out for each other, feel close to each other, or support each other?

Yes

No

71. 

[Adverse Childhood Experience (ACE) Questionnaire]

Did you often feel that: You didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you? Or Your parents were too drunk or high to take care of you or take you to the doctor if you needed it?

Yes

No

72. 

[Adverse Childhood Experience (ACE) Questionnaire]

Were your parents ever separated or divorced?

Yes

No

73. 

[Adverse Childhood Experience (ACE) Questionnaire]

Were any of your parents or other adult caregivers: Often pushed, grabbed, slapped, or had something thrown at them? Or Sometimes or often kicked, bitten, hit with a fist, or hit with something hard? Or Ever repeatedly hit over at least a few minutes or threatened with a gun or knife?

Yes

No

74. 

[Adverse Childhood Experience (ACE) Questionnaire]

Did you live with anyone who was a problem drinker or alcoholic, or who used street drugs?

Yes

No

75. 

[Adverse Childhood Experience (ACE) Questionnaire]

Was a household member depressed or mentally ill, or did a household member attempt suicide?

Yes

No

76. 

[Adverse Childhood Experience (ACE) Questionnaire]

Did a household member go to prison?

Yes

No

77. 

How did you hear about us?

Please select your answerGoogle or another search engine (Please specify in the comments)Social media (Please specify in the comments)Referred by a friend (Please specify in the comments)Through an event (Please specify in the comments)Other (Please specify in the comments)

78. 

Would you like to subscribe to our email newsletter so that you can receive weekly health tips?

Yes

No

Well done for taking the first step to improving your health! Thank you for taking the time to complete our free root cause analysis form. Please fill in your details below. Once we have gone through all the information, we will be in touch with you to discuss your results, and then we can provide you free tips and advice on how to improve your health and wellness.

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Phone

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What are the root causes of your health issues? Find out by taking the root cause analysis quiz! If you are experiencing health issues, whether they are physical or emotional, and the traditional medical treatments have not been effective or sustainable, or you’re seeking a more natural approach to healthcare or any form of assistance that complements conventional medicine, then this is the right place for you. The initial step is to identify the root cause/s so you can make effective changes to optimise your health.

By analyzing the root cause/s of your health condition/s, we will thoroughly assess your medical history, including hormonal health, nutritional deficiencies, thyroid health, emotional well-being, blood sugar levels, digestion, allergies, and other relevant factors. Taking into account your body’s systems, medications, past experiences, and personal preferences.

We analyze the information you provide to identify the root causes of your health concerns. Next, we set up a 30-minute consultation over the phone or via Zoom to offer personalized advice and guidance. This will help you improve both your physical and emotional well-being. Best of all, this service is entirely free and accessible worldwide.

We appreciate any level of detail you can provide, as it helps us provide better assistance. If you’re short on time and can’t complete the quiz now, no worries! Simply request your free personalized root cause analysis, and we’ll email you the form. Fill it out at your convenience and send it back to us to receive your results.