Holistic Medicine Consulting

Children questionnaire:

1.Do you feel your child is restless when seated?

2.Do you your child find it difficult to relax when she/he is awake?

3.Does your child have symptoms (fatigue, hyperactivity, etc.) after eating certain foods?

4.Does your child have problems falling asleep?

5.Does your child becomes angry or sad for no apparent reason?

6.Did you have a stressful pregnancy?

7.Did you consume large amounts of caffeine before or during pregnancy?

Adult questionnaire:

1.Does your energy level drop in the afternoon?

2.Do you have difficulty falling asleep? Do you wake up in the middle of the night and cannot fall asleep again?

3.Do you feel fatigued after meals?

4.Do you need your coffee in the morning to be able to function well, even if you sleep 8 hrs or more?