how toxic are you? We invite you to complete the following toxicity questionnaire to understand the sources of your toxins exposure and the effect they may be having on your well being. Check the adjacent box if you experience the below symptoms regularly:Digestive Nausea and / or vomiting Constipation Diarrhea Abdominal Bloating Flatulence / belching Heartburn Acid reflux Head Headaches Faintness Dizziness Pressure Emotions Mood swings Anxiety, fear or nervousness Anger, irritability Depression Sense of despair Uncaring or disinterested Lungs Chest congestion Asthma or bronchitis Shortness of breath Difficulty breathing Energy / Activity Fatigue unrelieved by sleep - in the a.m. Hyperactivity Restlessness Insomnia Startled awake at night - such as 1-4 a.m Mind Poor memory Confusion Poor concentration Stuttering, stammering Slurred speech Learning disabilities Eyes Watery or itchy eyes Swollen, reddned or sticky eyelids Dark circles under eyes Blurred or tunnel vision Mouth / Throat Chronic coughing Gagging or frequent need to clear throat Swollen or discolored tongue, gums, lips White or yellow-coated tongue and / or bad breath Canker sores Ears Prone to ear infections / earaches Drainage from ears Hearing loss or ringing in ears Itchy ears Nose Stuffy nose Sinus congestion / problems Hay fever Sneezing attacks Excessive mucous Skin Acne Rosacea Hives, rashes, or dry / itchy skin Hair loss Flushing Excessive sweating Weight Binge eating or drinking Cravings and / or blood sugar issues Increased belly or visceral fat Excessive weight Weight loss resistance Compulsive eating Fluid / Water retention Underweight Joints / Muscles Pains or aches in joints Rheumatoid arthritis Osteoarthritis Stiffness or limited movement Pain or aches in muscles Recurrent back aches Other Gallbladder issues or you had it removed Overheating / excess sweating Autoimmune system deficiencies Chemical sensitivity - e.g., you’re a lightweight when you drink alcohol, or smelling fragrances makes you anxious Exposure Are these strong chemicals used in your home: Disinfectants, bleaches, oven and drain cleaners, furniture polish, floor wax, window cleaners, etc. Is your home treated with pesticides? Are you exposed to dust, overstuffed furniture, tobacco smoke, mothballs, incense or varnish? Do you use nail polish, perfume, hairspray, lotions, shampoo, deodorant or other cosmetics? Are you exposed to gasoline fumes or exhaust fumes? Is there a water purification system in your home? Do you have indoor pets? Do you have an air purification system in your home? Are you a dentist, painter, farm worker or construction worker Do you drink soda? Do you eat processed foods? Do you eat non-organic vegetables & fruit? Do you use artificial sweetners? COUNT - DigestiveCOUNT - HeadCOUNT - EmotionsCOUNT - LungsCOUNT - Energy / ActivityCOUNT - MindCOUNT - EyesCOUNT - Mouth / ThroatCOUNT - EarsCOUNT - NoseCOUNT - SkinCOUNT - WeightCOUNT - Joints / MusclesCOUNT - OtherCOUNT - ExposureCOUNT - TOTALYour score:Your score:Your score:Congrats you are doing great! The Newport Protein will be perfect to maintain your low toxicity level as it’s a gentle liver detox and blood sugar stabilizer. Please contact us if you have more questions You are accumulating toxins! The Newport Beach Cleanse is the most effective way to cleanse those toxins out! Click here to learn more about the Newport Beach Cleanse Yikes...you need to cleanse! The Newport Beach Cleanse will help remove those toxins living in your cells and help stabilize blood sugars while you see weight loss, increased energy, improved sleep, digestion and skin. Click here to learn more about the Newport Beach Cleanse This iframe contains the logic required to handle Ajax powered Gravity Forms. Join my newsletter: name* First email* This iframe contains the logic required to handle Ajax powered Gravity Forms.