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TOXICITY QUESTIONNAIRE VERY VERY IMPORTANT      OPEN PDF ICON, PRINT AND COMPLETE TOXICITY QUESTIONNAIRE BEFORE READING THIS EVALUATION WEBPAGE. OTHERWISE, EVALUATION MAY INFLUENCE YOUR ANSWERS!         TOXICITY EVALUATION     Locate the Range For The Grand Total For Your Assessment and Recommendations.  The individual scores for each section of the Toxicity Questionnaire will inform you of the areas of the body that are suffering the most from symptoms of Toxicity and the adverse affects of the various Stressors.   To identify your Stressors, complete the Stressor Opinnionnaire.  If you have not already evaluated your Stressors, refer a friend to subscribe to Dr. Smith's newsletter to quality for the Stressor Evaluation.         Grand Total Score:    0 A Grand Total Score of "0" (zero) is a perfect score, which means you currently do not have any symptoms of toxicity.  Congratulations!.  Because it is a fact that in America, Canada and throughout our world, we are exposed to toxic substances, such as chemicals and metals, in our air, food and water, the accumulation of toxic substances and the eventual development of symptoms of toxicity, listed on the Toxicity Questionnaire, is  inevitable.  It is not whether or not you will experience these toxicity-related symptoms (illnesses and diseases), it is a matter of when you will experience them.  To maintain a zero balance, follow the 30-Day Full Body Detoxification Program in the Spring and Fall of each year.  Therefore, it is important that you read and follow the two sections on this web page, which includes information about and how to order the "Full Body Detoxification (Cleanse) Program." Completing the Toxicity Questionnaire, monthly, or at least every three months, for a Toxicity Re-Evaluation, will help you monitor your Stressors and their affect on your mind and body, so you may take appropriate and timely action should you score above zero on a future Toxicity Questionnaire. To have a zero score, generally, means you are either taking measures to eliminate or dramatically reduce toxic exposures and Stressors, as recommended above, or you are young and have not lived long enough to accumulate enough toxins to produce symptoms. No matter what the reason for your zero balance today, no one can maintain a zero balance:  without following the instructions provided on this web page to detoxify toxicity and replenish depleted nutrients that have been caused by your Stressors (See Full Body Detoxification Program) and contacting Dr. Smith for coaching in how to eliminate or dramatically minimize the Stressors in your life so that you do not continue to create more nutrient deficiencies and toxicity.  When ready to order your 30-day Therapeutic, Whole Food Detoxification Program, follow the instructions in on this web page titled, "Ordering Instructions - Full Body Detoxification Program."         Grand Total Scores 01 to 20 - Mild Toxicity 21 to 40 - Moderate Toxicity 41 or Higher - Severe Toxicity 01 to 20 - Mild Toxicity A Grand Total Score of 1-20 represents Mild Toxicity.  This means your internal toxicity level indicates that vitamin and other nutrient deficiencies are currently occurring.  However, they have not existed long enough to cause biochemical imbalances.  Therefore, if you follow the instructions below, you have an excellent opportunity to reduce this score to "0" (zero) with less time, energy and financial investment, than it takes when scores are higher.   Also, by following these instructions, you prevent these symptoms of toxicity from getting worse and creating more symptoms of toxicity and nutrient deficiencies. 21 to 40 - Moderate Toxicity A Grand Total Score of 21 to 40 represents Moderate Toxicity.  This means your internal toxicity level indicates that your vitamin and other nutrient deficiencies have been there long enough to cause biochemical imbalances.  However, if you follow the instructions below, you have an excellent opportunity to reduce this score to "0" (zero).  Though it may take a bit more time, energy and financial investment, than it does if your score was less than 20.  By following these instructions, you, also, have the opportunity to prevent these symptoms of toxicity from getting worse by creating more deficiencies and imbalances.  If you neglect to follow the instructions below, your symptoms will increase and soon your score will be over 40.   Read the interpretation of 40 or Higher - Severe Toxicity to understand the consequences of not following the instructions below. 41 or Higher - Severe Toxicity A Grand Total Score of 40 or higher represents Severe Toxicity.  This means your internal toxicity level indicates that your biochemical imbalances, caused by long-term vitamin and other nutrient deficiencies, have now progressed to the state where you are experiencing organ, gland and body system dysfunctions. To the degree that your score is higher than 40, for example, 60, 75, 100, 150 etc., you may also be experiencing the diseases in the organs, glands and body systems that have been experiencing long-term biochemical imbalances and nutrient deficiencies.  If you have not yet been diagnosed with one or more disease, you are rapidly progressing in this direction. However, if you follow the instructions below, you have an excellent opportunity to reduce this score to "0" (zero).  Though it may take a considerable more time, energy and financial investment, than it would had your score been less than 40.  By following these instructions, you, also, have the opportunity to prevent these symptoms of toxicity from getting worse by creating more nutrient deficiencies, biochemical imbalances, and organ/gland and body system dysfunctions, which precede the development of disease.  If you neglect to follow the instructions below, your symptoms will continue to increase  to scores higher and higher over 40, which means your symptoms become even more severe and you create more and deeper nutrient deficiencies, biochemical imbalances and organ, gland and body system dysfunctions -- all of which precede the development of disease.  If you already have one or more disease, your diseased cells, tissues, organs, glands, etc., will begin to decay and then die.  When there are more decaying and dead cells and tissues than healthy ones, the body dies. TO ALL GRAND TOTAL SCORES Not If, But When You Will Experience Symptoms of Toxicity Because it is a fact that, each day, you are being exposed to toxic substances, such as chemicals and metals, in your air, food and water and, therefore, the accumulation of toxic substances and the eventual worsening of current symptoms and development of more symptoms of toxicity, as listed on the Toxicity Questionnaire, is  inevitable.  It is not whether or not you will experience these toxicity-related symptoms (illnesses and diseases), it is a matter of when you will experience them.  That is, unless you decide today that you are going to be proactive and set up a lifestyle routine of internal body detoxification and eliminating toxins and Stressors from your current life.  Stressors are identified on the Stress Opinnionnaire, another Free Evaluation you may complete by referring a friend or family member who subscribes to our newsletter. No matter what your Grand Total Score is at this time, your first action step is to follow a 30-Day Full Body Detoxification (Cleanse) Program immediately to internally cleanse these toxic substances, and replenish nutrient deficiencies, so you may bring your score to a zero and then to maintain a zero score, follow this 30-Day program every Spring and Fall of each year.  Therefore, it is important that you read and follow the two sections on this web page, which includes information about and how to order the "Full Body Detoxification (Cleanse) Program." Depending upon which areas of the body, what type of symptoms, and how high your Grand Total Score is, you may require more than a 30-day Full Body Detoxification Program to bring your score to a zero.  If this applies to you, contact Dr. Smith regarding the protocol required to accomplish this goal.  It may require following the Full Body Detoxification Program for 60 instead of 30 days; or you may only require a few specific therapeutic, whole food supplements to detoxify and replenish areas of the body indicated by your scores that are more toxic than others.  Completing the Toxicity Questionnaire, monthly, or at least every three months, for a Toxicity Re-Evaluation, will help you monitor your symptoms of toxicity and affects of Stressors on your mind and body as you bring your score to zero, or if you choose to postpone following the instructions above,  your Re-Evaluation will help you monitor your increased symptoms and scores, so you may take the appropriate before it's too late.   What does it mean "before it's too late?"  This means before your internal toxicity has destroyed or damaged cells, tissue, and organ/glands to the point where they cannot be repaired and healed.  When it's too late to restore your health, premature death ensues.  However, remember that the longer you wait, which means increased and deeper toxicity, nutrient deficiencies, biochemical imbalances and organ/gland dysfunctions, the more time, energy and financial investment is required to restore health and bring your score to zero. Toxicity Re-Evaluations Completing the Toxicity Questionnaire every month, or at least every three months, for a Toxicity Re-Evaluation will help you monitor your progress as you progress towards a zero score.  Then, once you have attained zero score, your Toxicity Re-Evaluations will help you monitor your daily toxic exposures that you have no control over, like pollution in the air you breath outside (assuming you have home air purifiers), so that you know when to repeat the recommendations above should a future Re-Evaluation indicate a score above zero.  According to Dr. Mark Percival, N.D., D.C., "the greatest health challenge people have today is managing toxicity."   The fact that toxicity is an ongoing occurrence in our daily lives, it is important for you to Re-Evaluate yourself to monitor when it is time to take action again to detoxify the daily toxic accumulations. Remember it takes less time, energy and money to maintain a zero score than to allow it to continue to increase.  Because these recommendations are required, whether now or later, to detoxify the body of toxic substance and replenish nutrients, you will always save time, energy and money by following these instructions now than later.   As stated above, when your score is 0-21 a 30-day Detoxification Program may be all that is necessary, however, the higher the score, the longer the detoxification program is required or additional therapeutic supplement may be required to bring your score to zero. What Does Score Zero Really Mean? Bringing your score to zero means no more suffering with the symptoms of toxicity, improved health, disease prevention and health restoration (if you do not wait until it is too late for your body to heal after being diagnosed with a disease, if this applies to you).  Note:  Remember that when a disease is labeled incurable, this means drugs and surgery won't cure it. Therefore, if you currently have been diagnosed with one or more diseases and your well-meaning physician has told you that there is nothing that can be done to cure your disease, and even that you may have to be on drugs for the rest of your life to manage your disease(s), this may not necessarily mean that your body is incapable of healing itself.  Once you have followed this system of detoxifying your toxic substances, replenishing nutrients, learning how to your body heals and what you need to do to stop any interferences to your body's internal healing process, your body will heal itself.   Our clients, who have been told that their disease(s) were incurable and thought that it was too late for their body to heal, were delighted to experience their body healing itself when they followed this system of healing.  The only exception to this is if you postpone following these instructions to the point where it is truly too late to heal.  Drugs and surgery not being able to cure a disease is not a sign that it is too late for your body to heal.  This is determined by the state of your cells and tissue as identified by a clinical nutrition analysis of your biochemistry, i.e., saliva, urine, hair or stool.  Blood is not a cellular test. When ready to order your 30-day Therapeutic, Whole Food Detoxification Program, follow the instructions in on this web page titled, "Ordering Instructions - Full Body Detoxification Program." ORDERING INSTRUCTIONS For Your Full Body Detoxification Program Click here, or at the top of the right column on each web page, on To Order and To Inquiry  to go directly to the Inquiry Questionnaire,  Please complete the Inquiry Questionnaire completely to save time at, and then call  (940) 761-4045 to schedule your Inquiry Telephone Consultation with Dr. Smith.   Please fax, scan and e-mail or USPS mail a copy of your completed Toxicity Questionnaire prior to the Inquiry Telephone Consultation for Dr. Smith to review your individual answers, sub-totals and grand-total. Our fax is (940) 761-4405.   Mailing address is Advanced Clinical Nutrition, 4202 Picasso Drive, Wichita Falls, Tx 76308.  We highly recommend completing the Free Evaluation titled, "Stress Opinionnaire," as stressors also have an adverse affect on toxicity. Dr. Smith and her staff look forward to assisting you in detoxifying the toxic substances causing your current symptoms of toxicity and assisting you in prevent their ongoing accumulations to prevent creating more symptoms of toxicity, as well as improve and restore the healthy function of the organs, glands, and body systems adversely affected by toxicity.         Full Body Detoxification (Cleansing) Program 30-Day Full Body, Whole Food, Therapeutic Supplement and Dietary Program 1-2 times per year. Over-the-counter and by mail detoxification formulas are for the large intestines (also, called the colon or bowels).  However, the therapeutic, whole food Full Body Cleanse supplements available only through nutritional and naturopathic practitioners, like Dr. Smith, are clinically-formulated to detoxify the liver, gall bladder, bile duct, kidneys, bladder, lymphatics, small and large intestines.  Thus, appropriately called a full body detoxification program as it cleanse all of the elimination pathways, organs and glands, not just the colon. Therapeutic Note:  Our clinical experience in providing this program for our clients, the results of before and after clinical nutrition analyses of laboratory testing of their biochemistry test  have indicated that a this 30-day program provides the clinical results of lowering toxicity levels and raising nutrient levels to that taking therapeutic supplements is equivalent to the results of any other 90-day therapeutic supplement program or compared to using any other detoxification program.  What this means is that you would have to take supplements for three months to get the same results as you can get in 30 days on this specifically-formulated therapeutic Full Body Detoxification or Cleansing supplement program. Therefore, to maintain a perfect zone requires a whole food detoxification one to two times a year to detoxify the toxic levels currently collecting in your body, which by your score of zero, has not reach the level of producing symptoms of chemical, metal or other toxic substance. Ideally, following this program when your score is zero is better than postponing the program until your Toxicity Re-Evaluation shows a number above zero - this is true prevention.  Monitoring your grand totals with a Toxicity Questionnaire Re-Evaluation every 3-6 months will guide you in when to order our 30-Day Program, depending upon what is important to you - to maintain a zero balance or detoxify when the grand total is first sighted above zero.  If you choose do to the latter, monitor your grand total scores on a Toxicity Re-Evaluation every three months.  If you chose the ideal and detoxify every six month, i.e.,  this 30-day program twice a year, completing a Toxicity Re-Evaluation every six months is sufficient. Also, if you choose to detoxify when a number above zero appears, do a Toxicity Re-Evaluation just before and at the end of the 30-day program so you can see if your grand totals have returned to zero.  If not, consider detoxifying for another two weeks, completing the Toxicity Re-Evaluation, again, two weeks later, repeating this until zero.  Generally, a 30-day program is sufficient. a Full Body Detoxification Program at the beginning of the Spring and Fall Seasons are ideal times to cleanse internally.  The cooler seasons slow down the metabolic processing of internal elimination or detoxification, so just as Spring Cleaning is a common practice for external household maintenance, so it is with internal household maintenance, too, so to speak.   Fall Cleansing is recommended because during the summer, people are more active and they perspire more.  Exercise (activity) and Perspiration are two natural methods of body detoxification, so toxic levels are lower during these months than any other time of the year.  However, people are often more dehydrated and nutritional depleted (i.e., lower levels of nutrients, such as water, proteins, carbohydrates, Fats/Oils, vitamins, minerals, etc.).  Using wet or dry saunas are, also, natural detoxifiers. a Full Body Detoxification Program under the above conditions is ideal for a cleanse.  With a lower level of toxicity, this program can go deeper into the cells and tissue for a more effective cleanse.  Any other time, there is a higher quantity of toxic substances and, therefore, more layers of toxicity, to work through to get the cells and deeper tissue. In addition to detoxification (internal cleansing), our therapeutic Full Body, Whole Food Detoxification Program is also clinically-formulated for nutrient repletion, i.e., to nourish the cells and tissue and raise their nutrient levels.  So at the beginning of Fall (which is the end of summer), when both toxicity and nutrients are both low, our therapeutic program performs a dual function, deeper cleanse to significantly lower toxicity further and raise nutrient levels, at the same time. When ready to order your 30-day Therapeutic, Whole Food Detoxification Program, follow the instructions above, titled, "Full Body Detoxification Program - Ordering Instructions." Disclaimer/Copyright Information provided in this website is for nutritional educational purposes only and not for the diagnosis or treatment of any medical condition, disorder or disease. Copyright 2004  Dr. Donna F. Smith  --  Last Website Update (03/14/11)