Exchange Effect Body Systems Questionnaire

Questionnaire exchangeeffect org

Find the body system that may need attention first.

This app turns the Body System's Questionnaire into a guided digital intake. It uses symptom scoring to rank digestive, hepatic, intestinal, respiratory, urinary, circulation, nerves, glandular, structural, immune, and reproductive systems.

Progress 0 selected Draft saved locally

Step 1

Client Intake

Client name Date Age Contact Current goals or concerns

Step 2

Symptom Review

0 none 1 mild 2 moderate 3 strong

Step 3

Priority Results

Step 4

Participant Feedback

How clear was this questionnaire? How confident do you feel about the result? Notes for practitioner or coach