Neurotransmitter Imbalance Questionnaire
The questionnaire below is designed to determine if you may have a depletion in your neurotransmitter levels. It is based on the work of Julia Ross, MA. This is only a guide. For a more accurate way of determining an imbalance, a neurotransmitter test is available.
The results from your questionnaire can help guide you in making treatment decisions. Supplement recommendations are provided at the end of each section. If you have scored positive for more than one imbalance, you would need to take supplements from both sections, and you could worsen the imbalance by correcting only one area. The inhibitory and excitatory systems must be in balance. Again, to obtain a more accurate picture of your brain chemistry, Neurotransmitter lab testing should be considered.
Find out more about the Neurotransmitter Tests we have available.
This questionnaire is not intended to be a substitute for diagnosis by a qualified mental healthcare provider. If you do not have access to one in your area, we offer telephone consultations with our licensed nurse practitioner or doctor. Please call (941) 371-7997 to schedule an appointment.
Part 1. Are You Under a Dark Cloud?
Are you experiencing symptoms of low serotonin?
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Part 2. Are You Suffering from the Blahs?
Are you experiencing symptoms of low dopamine, epinephrine, and norepinephrine?
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Part 3. Is Stress Your Problem?
Are you experiencing symptoms of GABA depletion and possibly adrenal fatigue?
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Part 4. Are You Too Sensitive to Life's Pain?
Are you suffering from depleted levels of endorphins?
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