I am struggling more than usual with "getting things done"

at home

at work

not at all

I have trouble finding the right word sometimes

True

False

My thinking feels slower than usual

True

False

I am easily distracted and have trouble focusing

True

False

I lose my train of thought often

True

False

I have trouble recalling things I heard or read just a few minutes ago.

True

False

I feel dizzy if I get up suddenly, or during exercise where I have to stand up quickly (i.e., burpees, or after inversions or push-ups)

True

False

If I go too long without a meal (4 hours or even sooner), I can experience cold fingers and toes, my hands might shake, I might feel nauseous, and my mood is "hangry."

True

False

I wake up at 1-4am with my heart racing and am unable to go back to sleep

True

False

I often experience nausea, diarrhea, or vomiting.

True

False

I feel tired even after eight hours of sleep and rely on caffeine or stimulants to get through the day (or unable to tolerate stimulants of any kind).

True

False

Full Name

Email *

I consent to receiving email communication from Root-Cause Healing. You can reply STOP to unsubscribe at any time.

Privacy Policy | Terms of Service