NAME ........................................... AGE .........

The following Health Checklist is designed for those people who seek Mother Natures answers to the following Ailments, Stressful Conditions, Disease and Wellness Challengers!

This is achieved through The Industry Leaders UNIQUE 'Blue Print" of Nature, Nutritional, Whole Food Concentrates & the Finest Quality Herbal Formulas in concentrated form with the implementation of their World Firsts in Scientific Excellence in Supplementation Technologies that will give YOU THE BEST RESULTS YOU’VE BEEN SEARCHING FOR;... FOR YOUR NUMBER 1 ASSET……………YOUR OWN PRECIOUS HEALTH!

It is recommended that you note any Pharmaceutical Medication that you are currently taking and to answer all other relative questions at the end of the checklist. On a separate sheet of paper make a summary of what your Breakfast, Lunch & Dinner consists of, over the course of an average week, to include snacks & drinks in between!

Start by Ticking any of the Following Symptoms or Disease which is applicable to You!

		DIGESTIVE SYSTEM
		Detoxification Required
		Loss of Appetite
		Underweight
		Indigestion
		Allergies
		Dry Mouth
		Rumbling Stomach
		Burping
		Bloating
		Bad Breath
		Gout
		Hiatus Hernia
		Heartburn
		Gastric Reflux
		Overweight
		Stomach Ulcers
		Duodenal Ulcers
		Tired Feeling after Meals
		Nauseous Feeling after Meals
		Gall Stones
		Stomach Cancer
		Gastro Intestinal Tumours
		Oesophageal Cancer
		Fatty Liver
		Cirrhosis of the Liver
		Inflammation of the Liver
		Hepatitis A B C
		Enlarged Liver
		Liver Cancer
		Throat Cancer
		Parasites & their Cysts
		Headaches – (food allergy related)
		Candida Albicans (any 22 strains)
		ELIMINATION SYSTEM
		Detoxification Required
		Crohns Disease
		Colitis
		Ulcerative Colitis
		Flatulence
		Hemorrhoids
		Lazy Bowel
		Irritable Bowel Syndrome
		Bowel Cancer
		Constipation
		Diverticulitis
		Diarrhoea
		Celiac Disease
		Parasites & their Cysts
		Prolapsed Colon/Bowel
		Leaky Gut Syndrome
		NERVOUS SYSTEM
		Detoxification Required
		Anorexia
		Anxiety
		Irritability
		Depression
		Insomnia
		Suicidal tendencies
		Suicidal thoughts
		Paranoia
		Panic Attacks
		Alzheimer's Disease
		Dementia
		Stress
		Meniere's Disease
		Tinnitus
		Dizziness or Light headiness
		Vertigo
		Epilepsy
		Ear Aches
		Poor Memory
		Multiple Sclerosis
		Parkinson's Disease
		Sciatica
		Dry Eyes
		Conjunctivitis
		Eye Cancer
		Parasites & their Cysts
		Glaucoma
		Cataracts
		Meningitis
		Hypothalamus Imbalance
		Obesity
		Excessive Hunger
		Excessive Thirst
		Macular Degeneration
		Brain Cancer
		Migraine Headaches (Half vision)
		Headaches
		ENDOCRINE GLAND SYSTEM
		Detoxification Required
		Parasites & their Cysts
		Chronic Fatigue
		Low Energy
		Overweight
		Underweight
		Low Libido
		Mood Swings
		Pessimism
		Pre Menstrual Tension (PMT)
		Irregular Menstruation
		Heavy menstruation
		Dysmenorrhoea (Painful Menstruation)
		Polycystic Ovaries
		Cysts & Lumps
		Ovarian Cancer
		Testicular Cancer
		Thyroid Gland Tumour Cancer
		Pituitary Gland Tumour Cancer
		Pancreatic Tumour Cancer
		Adrenal Gland Tumour Cancer
		Thymus Gland Tumour Cancer
		Spleen Tumour Cancer
		Menopause
		Headaches (Hormonal)
		Headaches (Stress related – Adrenal surges)
		Hot Flushes
		Night Sweats
		Insomnia
		Fatty pancreas
		Pancreatitis
		Parasites and their Cysts
		Hypoparathyroidism
		Hyperparathyroidism
		Hyperthyroidism
		Hypothyroidism
		Diabetes Type I Type II
		Diabetes Mellitus
		Diabetes Insipidus
		Hypoglycaemia (Low Blood Sugar)
		Fluid Retention (Edema)
		Addison's Disease
		Adrenal Exhaustion
		REPRODUCTIVE SYSTEM
		Detoxification Required
		Impotence
		Premature ejaculation
		Unable to orgasm
		Cramping
		Candida Albicans (any 22 strains)
		Infertility
		Painful Breasts
		Cystic/Lumpy Breasts
		Fibroids
		Endometriosis
		Miscarriage
		Pregnancy
		Toxaemia of Pregnancy
		Morning Sickness
		Breast Cancer
		Uterine Cancer
		Cervical Cancer
		Endometrial Cancer
		Prostate Cancer
		Prostate Enlargement
		Prostatitis
		URINARY SYSTEM
		Detoxification Required
		Back Pain
		Parasites & their Cysts
		Cystitis
		Burning on Urination
		Bleeding on Urination
		Kidney Stones
		Protein in the urine
		Bladder Infections
		Bladder Tumour Cancer
		Kidney Tumour Cancer
		Poly Cystic Kidneys
		Bruised Kidneys
		Inflammation of the Kidneys
		SKELETAL SYSTEM
		Detoxification Required
		Parasites & their Cysts
		Arthritis
		Rheumatoid Arthritis
		Osteoarthritis
		Osteoporosis
		Bone tumours
		Fungal infection of the bone
		Osteomyelitis
		Aching Joints
		Stiff Joints
		Fractured or Broken Bones (Accidental)
		Bones Fracture easily
		Padgets Disease
		Arthritic Spurs
		Pinched Nerve
		Slipped Vertebrae
		MUSCULAR SYSTEM
		Detoxification Required
		Leg Cramps
		Muscle Pains
		Stiff Neck
		Twitchy Legs
		Loss of muscle mass
		Multiple Sclerosis
		Muscular Dystrophia
		Motor Neuron Disease
		Back Pain
		Calcification of the Heart Muscle
		Muscle Calcification - (General)
		Lumbago
		Lupus
		Rheumatism
		Tennis Elbow
		Frozen Shoulder
		Bursitis
		Muscle worms
		IMMUNE & LYMPHATIC SYSTEMS
		Detoxification required
		Rheumatoid Arthritis
		Poly Myalgia Rheumatica
		Lupus
		Golden Staph Infection
		Tonsillitis
		Abscess Tooth
		Swollen Glands Neck Groin Underarms
		Epstein Bar Virus
		Candida (any of the 22 Strains)
		Glandular Fever (Mononucleosis)
		Slow Healing
		Hepatitis A B C
		Platelet Count High Low
		Parasites & their Cysts
		Herpes Simplex I II
		Shingles
		Lymph Node Cancer
		Bone Marrow Cancer
		Cancer Gene (Hereditary Factor)
		Leukaemia
		CARDIOVASCULAR & CIRCULATORY SYSTEMS
		Detoxification required
		Clotting Tendency
		Sticky Platelets
		Cholesterol High Low
		Triglycerides High
		Ulceration of the blood vessel walls
		Acidosis
		Cold Hands
		Cold Feet
		Blood Pressure High Low
		Fainting Spells
		Stroke
		Angina
		Aneurysm
		Varicose Veins
		Deep Vein Thrombosis
		Anaemia
		Sickle Cell Anaemia
		Parasites & their Cysts
		Hardening of the Arteries ie. Arthierosclerosis
		Cardiomyopathy
		Fibrillation (Irregular Heart Beat)
		Pins & Needles feeling Hands Feet
		RESPIRATORY SYSTEM
		Detoxification required
		Asbestosis
		Silicosis
		Asthma
		Cough - Persistent
		Hay fever
		Allergies
		Bronchitis
		Upper Respiratory Infections
		Sinusitis
		Emphysema
		Lung Cancer
		Cystic Fibrosis
		Pneumonia
		Runny Mucous - Back of throat
		Mucous Congestion
		Lung worms
		INTEGUMENTARY SYSTEM (Hair, Skin & Nails)
		Detoxification required
		Acne
		Tinea
		Fungal Infections
		Bruise easily
		Alepecia
		Dandruff
		Eczema
		Impetigo
		Psoriasis
		Rosacea
		Loss of Skin Elasticity
		Skin Cancer
		Melanomas
		Dermatitis
		Leg Ulcers
		Mouth Ulcers
		Dry Mouth
		Canker Sores
		Cold Sores
		Skin Rashes Stress related Food Allergy related
		Scabies
		Skin Worms
		Boils
		Warts
		Premature Aging
		Dry Skin
Note any Health concerns not mentioned in the above:- * * * * Note any Allergies to Food that you have:- * * * * Note any Surgical Operations performed and/or any Organs or Glands that you have had removed:- * * * * Note any supplements currently using:- * * * * Note any Pharmaceutical Medications previously or currently taken:- * * * *

YOURS IN GOOD HEALTH,

ANNE WEBSTER
OPTIMAL HEALTH CONSULTANT

And Remember . . .

THERE'S NO TIME TO BE BARGAIN HUNTING FOR HEALTH SUPPLEMENTS IN THE 21ST CENTURY, WITH ALL THE HEALTH CHALLENGERS WE ARE FACED WITH TODAY AND WILL BE IN THE FUTURE FOR THOSE WHO DO NOT PRACTICE PREVENTATIVE CARE TODAY!

SO, WISELY . . .
* * * NEVER LOOK FOR BARGAINS IN . . . FIRE EXTINGUISHERS . . .
PARACHUTES OR . . . NUTRIENTS !

ALL GENUINE ENQUIRES WELCOMED
PHONE:- SYDNEY 02 9525 3326