Sorensen Method™ · Heal Hub

Body Systems Questionnaire

A whole-body symptom check across digestion, hormones, heart, mood, immune function, joints, brain and reproductive health. Your answers stay on this device.

Name (optional)

Date

Which part would you like to do?

Part 1: digestion to immune15 sections · about 15 minutes Part 2: urinary, joints, brain and reproductive8 sections · about 10 minutes Both parts23 sections · about 25 minutes. You can pause by leaving this page open.

For the reproductive sections (Part 2)

Female, still having periods Female, no longer having periods Male Skip these sections

Sorensen Method™ · Heal Hub

Food Response Check

Sixteen quick questions about how you respond to lighter and heavier foods. About 3 minutes. Your answers stay on this device.

Answer for how you are now, not how you used to be or think you should be. If a question doesn't fit, choose "Not sure". There are no right or wrong answers.

Please skip this check if you have, or have had, an eating disorder, or if you are pregnant, or have diabetes, kidney disease or another condition that affects how you eat. Talk to your doctor or dietitian instead.

Sorensen Method™ · Heal Hub

Diet, Exercise & Sleep Diary

Record what you eat, drink, do and how you sleep, one day at a time. Everything saves on this device only.

Name

First day

How many days?

Be as specific as you can. Include quantities, how food was cooked, every drink, oils, sauces and condiments, and any supplements or medication. Fill in each day as you go, not from memory at the end.

Day 1

Date

Food and drink

Exercise and relaxation

Sleep last night

This morning

Notes

Saved on this device.

This diary is a record to share with your practitioner or coach. It is not medical advice. Your entries are stored only in this browser on this device. Clearing your browser data, or switching browser or phone, will remove them, so use Copy summary or Save as PDF to keep a copy.