(949) 633-1332

185 Paularino Bldg. C, Suite 103 

Costa Mesa, CA 92626

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©2019 Path to Health

Adrenal Fatigue Quick Check

Rate the following from 0 to 5, with 0 being no problem and 5 being a severe problem.

 

1. _____ Difficulty getting up in the
morning

 

2. _____ Continuing fatigue, not
relieved by sleep and rest

 

3. _____ Lethargy, lack of energy to do
normal daily activities

 

4. _____ Sugar cravings

 

5. _____ Salt cravings

 

6. _____ Allergies

 

7. _____ Digestion problems

 

8. _____ Increased effort needed for everyday tasks

 

9. _____ Decreased interest in sex

 

10. _____ Decreased ability to handle stress

11. _____ Increased time needed to recover from illness, injury, or traumas

 

12. _____ Light-headed or dizzy when standing up quickly

 

13. _____ Low mood

 

14. _____ Less enjoyment or happiness
with life

 

15. _____ Increased PMS

16. _____ Symptoms worsen if meals are skipped or inadequate

 

17. _____ Thoughts are less focused,brain fog

 

18. _____ Memory is poorer

 

19. _____ Decreased tolerance for stress, noise, disorder

 

20. _____ Don’t really wake up until after 10:00 A.M.

 

21. _____ Afternoon low between 3:00 P.M.

22. _____ Feel better after supper

 

23. _____ Get a “second wind” in the evening, and stay up late

 

24. _____ Decreased ability to get things done - less productive

 

25. _____ Have to keep moving - if I stop, I get tired

26. _____ Feelings overwhelmed by all that needs to be done

27. _____ It takes all my energy to dowhat I have to do. There’s none leftover for anything or anyone else

_____ Total ​ A score of 20-40 suggests mild adrenal stress; 40-70 suggests moderate adrenal fatigue; and over 70 suggests significant adrenal fatigue problems.