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Adrenal Symptoms Questionnaire
for Patients

If you have read my article on fatigue and you feel that it described
you and your symptoms, you should PRINT and FILL OUT the
Adrenal
Symptoms Questionnaire and bring it to your first appointment with
Dr. Firnbach.

The Adrenal Symptoms Questionnaire is a tool for helping to diagnose adrenal gland
dysfunction that patients can quickly complete. The answers to the questions help
determine whether the adrenal glands are likely implicated as a factor in a person’s
health concerns. The results of the questionnaire will create a picture of how the
adrenal glands are functioning in terms of their response to stress. This
questionnaire will aid me in determining your diagnosis and treatment.

SEVERITY of SYMPTOMS RANKING
The questionnaire is easy to complete. Simply read each statement, decide its degree
of severity, and then place the appropriate number beside each statement based on
the severity.

» Click here for Dr. Firnbach's Adrenal Symptoms Questionnaire (pdf)

For More on Adrenals...Click Here