* 1. Are you male or female?

* 2. Age?

* 3. How would you describe your energy level?

* 4. How is your energy affected by eating meals? (scale 1-5)

* 5. How frequently have you suffered from eczema of any kind?

* 6. How intensely do you find yourself craving sugar on a daily basis?

* 7. Are you susceptible to mood swings?

* 8. How often do you consume products containing yeast? (breads, grains, beer/wine, vinegar, bakery items, cheeses, etc.)

* 9. How do you feel after consuming yeast-based products?

* 10. Do you have unexplainable acne?

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