Current Symptom Assessment
Rate symptoms over the past 30 days. 8 body systems · 35 symptoms per system · Scored 0–4
Client Information
Scoring Instructions
Rate each symptom based on how often and how severely you have experienced it over the past 30 days. Be honest — there are no right or wrong answers. This helps identify which body systems need the most support.
0Never / Not applicable
1Occasionally, once or twice a month, mild
2Sometimes, weekly, moderate
3Often, several times a week, moderate–severe
4Constantly, daily, severe
0
/1120
Total Symptom Burden
Burden Classification
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Score symptoms across all 8 systems to receive your interpretation.
Priority Systems