Leaky Gut Syndrome Questionnaire

Check the number that most closely fits, then add up the results.

0= Symptom not present or rarely present

1= Mild /Sometimes

2= Moderate/Often

3= Severe/Almost always

Constipation and/or diarrhea
Joint pain or swelling, arthritis
Food allergies, sensitivities or intolerance
Chronic or frequent inflammations
Confusion, poor memory or mood swings
Asthma, hayfever, or airborne allegies
Mucous or blood in stool
Abdominal pain or bloating
Chronic or frequent fatigue or tiredess
Sinus or nasal congestion
Eczema, skin rashes or hives (urticaria)
Use NSAIDS (Aspirin, Tylenol, Motrin)
History of antibiotic use
Alcohol consumption makes you feel sick
Ulcerative colitis, Crohn's or Celiac disease

Score 1-5: Leaky gut less apt to be present 

Score 6-10: Leaky gut may be present

Score 7-19: Leaky gut likely present

Score 20+: Leaky gut almost certainly present

Thanks for submitting!