Health ~ Alternative Healing ~ Magnesium ~ MG ~ Questions ~ Quiz ~ Lack

Disclaimer

Magnesium Deficiency Questionnaire ~ quiz is to find correlation between health issues and/or symptoms related to deficiency ~ lack of bio magnesium.
Magnesium Deficiency Questionnaire ~ quiz is not a substitute for medical or psychological, diagnosis and treatment.
We make no claims to diagnose conditions, or to perform medical treatment, prescribe substances, or interfere with the treatment of a licensed medical professional.

NOTE

Numerical values are assigned to Yes and No answers, once the form is submitted your score is tallied.
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The Magnesium Deficiency Questionnaire can also be downloaded

(File Size: 18KB)

Y N	Under excessive emotional stress
Y N	Irritable, or easily provoked to anger
Y N	Restless, or hyperactive
Y N	Easily startled by sounds or lights
Y N	Difficulty sleeping
Y N	Chronic headaches or migraines
Y N	Convulsions
Y N	Fine tremor or shakiness in your hands
Y N	Fine, barely noticeable muscle twitching around your eyes, facial muscles, or other muscles of your body
Y N	Muscle cramps
Y N	Muscle spasms in hands or feet
Y N	Gag or choke from spasms in your esophagus(food tube)
Y N	Have asthma or wheezing
Y N	Suffer from emphysema, chronic bronchitis, or shortness breath
Y N	Have osteoporosis
Y N	Have you ever had a kidney stone
Y N	Suffer from chronic kidney disease
Y N	Have diabetes
Y N	Have an overactive thyroid, or parathyroid gland
Y N	Have high blood pressure
Y N	Have mitral valve prolapse (“floppy heart valve”)
Y N	Have very fast heart beats, irregular heart beats, or arrhythmia
Y N	Take Digitalis (Digoxin)
Y N	Take any kind of diuretic
Y N	Recent radiation therapy or exposure
Y N	Have more than 7 alcohol drinks weekly
Y N	Have you ever had a drinking problem?
Y N	Have more than 3 servings of caffeine daily
Y N	Eat sugar containing food daily
Y N	Crave carbohydrates &/or chocolate
Y N	Crave salt
Y N	Eat a high processed food/ junk food diet
Y N	Eat a diet low in green, leafy vegetables, seeds, & fresh fruit
Y N	Eat a low protein diet
Y N	Pass undigested food or fat in your stools
Y N	Suffer from chronic intestinal disease, ulcerative colitis, Crohn’s, irritable bowel syndrome
Y N	Frequent diarrhea or constipation
Y N	Suffer from PMS or menstrual cramps
Y N	Pregnant or recently pregnant
Y N	In previous pregnancy had high blood pressure or pre-eclampsia
Y N	Chronic fatigue
Y N	Muscle weakness
Y N	Cold hands &/or feet
Y N	Numbness in face, hands, or feet
Y N	Persistent tingling in body
Y N	Chronic lack of interest, indifference, or apathy
Y N	Poor memory
Y N	Loss of concentration
Y N	Anxiety
Y N	Chronic depression for no apparent reason
Y N	Feelings of disorientation as to time or place
Y N	Feel your personality is stiff or mechanical
Y N	Hallucinations
Y N	Feel that people are trying to harm or persecute you
Y N	Face pale, puffy, or lacking in color
Y N	Loss of considerable sexual energy or vitality
Y N	Been told by your Dr. that your blood calcium is low
Y N	Been told by your Dr. that your blood potassium is low
Y N	Take Calcium supplements regularly without magnesium
Y N	Take iron or zinc supplements regularly without magnesium
Y N	Know chronic exposure to fluorides
Y N	Frequently use antibiotics, steroids, oral contraceptives, Indomethacin, Cisplatin, Amphotericin B, Cholestyramine,