HARRIS INTEGRATED HEALTH AND NUTRITION
Welcome
Meet Dr. Harris
Medical Symptoms Questionaire
Toxin Exposure Assessment
Female Hormone Self Assessment
Toxic Burden
>
Causes of Leaky Gut Syndrome
>
Paperwork
>
Nutritional Assessment
Leaky Gut/Intestinal Permeability
>
Gluten Sensitivity Assessment
Candida Assessment
Do You Feel Lucky
>
Digestive Health Appraisal Questionairre
Digestive and Lifestyle Symptoms Assessment
Male Hormone Self Assessment
Clinical Clues of Low Stomach Acid
Health History
Dairy Sensitivity
Our Philosophy
Professional Affiliations
Programs
From a Distance
>
All Inclusive
Life in the Middle
Pay as You Go
Eye to Eye
>
All Inclusive
Life in the Middle
Pay as You Go
Diet Lifestyle Environment
Diet
Lifestyle
Environment
Resources
Comprehensive Elimination Diet
Keto Diet Protocol
Daily/Weekly Physical Activity
Food Diary
>
Daily/Weekly Food Diary
Recipe's
>
Snacks/Appetizers/Soups
Entrees
>
Breakfast
Lunch
Dinner
Salads/Desserts
All Things Coconut
Out of the Box NEK TV
Newsletters
FAQ
A List of Lists
Answers to QUARA
Blog
Power Point Presentations
Cancer
Cancer
Products
Xymogen Products
>
Opti Cleanse Plus Creamy Chocolate
OptiCleanse Plus Vanilla Delight
OptiCleanse GHI Chai
OptiCleanse GHI Creamy Chocolate
OptiCleanse GHI Creamy Chocolate Stevia Free
OptiCleanse GHI Vanilla Delight
OptiCleanse GHI Vanilla Delight Sugar-Stevia Free
FitFood Lean Whey Vanilla Delight No added sugar, No Stevia 10 Servings
FitFood Lean Whey Creamy Chocolate No Added Sugar, No Stevia 10 Servings
Fit Food Lean Vanilla Delight 10 Servings
Fit Food Lean Complete French Vanilla Sugar and Stevia Free 10 Servings
Fit Food Lean Complete French Vanilla 10 Servings
Fit Food Lean Creamy Chocolate 10 servings
FitFood Lean Complete Dutch Chocolate
Fit Food Lean Complete Dutch Chocolate Sugar and Stevia Free 10 Servings
6 Day Detox Micro Kit
6 Day Detox Micro Kit
Pure Encapsulation Products
>
Detox Pure Pack 30 Packets
PureLean Fiber 343 grams
PureLean® Protein
tPureLean® Whey 432 g
Athletic Pure Pack 30 packets
KetoBrain Energy 300 grams
BCAA Powder 227 Grams
Biotics Research
>
MetabolicBiome™ Plus 7-Day Kit - Hydrolyzed Collagen Protein
MetabolicBiome™ Plus 7-Day Kit - Organic Pea Protein
NutriClear®
>
NutriClear® Free
NutriClear® Plus
NitroGreens®
Thorne Research
>
MediClear-SGS - Vanilla™
Medibolic
FiberMend Prebiotic
Natural Blend of Herbs and Spices
>
Natural Blend of Herbs and Spices
Services
Eye to Eye
>
All Inclusive
Life in the Middle
Pay as You Go
From a Distance
>
All Inclusive
Life in the Middle
Pay as You Go
Books
Book; Our Modern Mortal Trilogy
NitroGreens
New Client Register/Sign In
BrainSustain Vanilla Delight 10 Servings
BrainSustain Vanilla Delight 10 Servings
Medical Symptoms Questionaire
c
*
Indicates required field
Name
*
First
Last
Phone Number
*
Date
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Occupation
*
Height
*
Weight
*
Marital Status
*
Single
Married
Divorced
Separated
Partner
Widow(er)
Number of Children
*
Email
*
Date of Birth
*
Gender
*
Male
Female
C
heck all conditions/symptoms that apply to you within the past 30 days
Do you currently suffer from HEAD
*
Frequent Headaches
Dizziness
Faintness
Insomnia
Do you currently suffer from; Eyes
*
Watery or Itchy eyes
Swollen, reddened or sticky eyelids
Bags or dark circles under eyes
Blurred or tunnel vision (does not include near or farsightedness
Comments
*
Comment
*
Do you currently suffer from; Ears
*
Itchy ears
Earaches, ear infections
Drainage from ear
Ringing in ears, hearing loss
Do you suffer from; Nose
*
Stuffy nose
Sinus problems
Hay fever
Sneezing attacks
Excessive mucus formation
Comment
*
Comment
*
Do you suffer from; Skin
*
Acne
Hives,rashes, dry skin
Hair loss
Flushing, hot flashes
Excessive sweating
Do you suffer from; Mouth/Throat
*
Chronic coughing
Gagging,frequent need to clear throat
Sore throat, hoarseness, loss of voice
Swollen or discolored tongue, gums, lips
Canker sores
Comment
*
Comment
*
Do you suffer from; Heart
*
Irregular or skipped heartbeat
Rapid or pounding heartbeat
Chest pain
Do you suffer from; Lungs
*
Chest congestion
Asthma,bronchitis
Shortness of breath
Difficulty breathing
Comment
*
Comment
*
Do you suffer from; Digestive tract
*
Nausea, vomitng
Diarrhea
Consipation
Bloated feeling
Belching, passing gas
Heartburn
Intestinal/stomach pain
Do you suffer from; Joint/Muscle
*
Pain or aches in joints
Arthritis
Stiffness or limitation of movement
Pain or aches in muscles
Feeling of weakness or tiredness
Comment
*
Comment
*
Do you suffer from; Weight
*
Binge eating/drinking
Craving certain foods
Excessive weight
Compulsive eating
Water retention
Underweight
Comment
*
Do you suffer from; Energy/Activity
*
Fatigue, slugishness
Apathy,lethargy
Hyperactivity
Restlessness
Comment
*
Do you suffer from; Mind
*
Poor memory
Confusion, poor comprehension
Poor concentration
Poor physical coordination
Difficulty in making decisions
Stuttering or stammering
Slurred speach
Learning disabilities
Do you suffer from; Emotions
*
Mood swings
Anxiety, fear,nervousness
Anger,irritability, aggtressiveness
Depression
Comment
*
Comment
*
Do you suffer from; Other
*
Frequent Illness
Frequent or urgent urination
Genital itch or discharge
Comment
*
Submit
Welcome
Meet Dr. Harris
Medical Symptoms Questionaire
Toxin Exposure Assessment
Female Hormone Self Assessment
Toxic Burden
>
Causes of Leaky Gut Syndrome
>
Paperwork
>
Nutritional Assessment
Leaky Gut/Intestinal Permeability
>
Gluten Sensitivity Assessment
Candida Assessment
Do You Feel Lucky
>
Digestive Health Appraisal Questionairre
Digestive and Lifestyle Symptoms Assessment
Male Hormone Self Assessment
Clinical Clues of Low Stomach Acid
Health History
Dairy Sensitivity
Our Philosophy
Professional Affiliations
Programs
From a Distance
>
All Inclusive
Life in the Middle
Pay as You Go
Eye to Eye
>
All Inclusive
Life in the Middle
Pay as You Go
Diet Lifestyle Environment
Diet
Lifestyle
Environment
Resources
Comprehensive Elimination Diet
Keto Diet Protocol
Daily/Weekly Physical Activity
Food Diary
>
Daily/Weekly Food Diary
Recipe's
>
Snacks/Appetizers/Soups
Entrees
>
Breakfast
Lunch
Dinner
Salads/Desserts
All Things Coconut
Out of the Box NEK TV
Newsletters
FAQ
A List of Lists
Answers to QUARA
Blog
Power Point Presentations
Cancer
Cancer
Products
Xymogen Products
>
Opti Cleanse Plus Creamy Chocolate
OptiCleanse Plus Vanilla Delight
OptiCleanse GHI Chai
OptiCleanse GHI Creamy Chocolate
OptiCleanse GHI Creamy Chocolate Stevia Free
OptiCleanse GHI Vanilla Delight
OptiCleanse GHI Vanilla Delight Sugar-Stevia Free
FitFood Lean Whey Vanilla Delight No added sugar, No Stevia 10 Servings
FitFood Lean Whey Creamy Chocolate No Added Sugar, No Stevia 10 Servings
Fit Food Lean Vanilla Delight 10 Servings
Fit Food Lean Complete French Vanilla Sugar and Stevia Free 10 Servings
Fit Food Lean Complete French Vanilla 10 Servings
Fit Food Lean Creamy Chocolate 10 servings
FitFood Lean Complete Dutch Chocolate
Fit Food Lean Complete Dutch Chocolate Sugar and Stevia Free 10 Servings
6 Day Detox Micro Kit
6 Day Detox Micro Kit
Pure Encapsulation Products
>
Detox Pure Pack 30 Packets
PureLean Fiber 343 grams
PureLean® Protein
tPureLean® Whey 432 g
Athletic Pure Pack 30 packets
KetoBrain Energy 300 grams
BCAA Powder 227 Grams
Biotics Research
>
MetabolicBiome™ Plus 7-Day Kit - Hydrolyzed Collagen Protein
MetabolicBiome™ Plus 7-Day Kit - Organic Pea Protein
NutriClear®
>
NutriClear® Free
NutriClear® Plus
NitroGreens®
Thorne Research
>
MediClear-SGS - Vanilla™
Medibolic
FiberMend Prebiotic
Natural Blend of Herbs and Spices
>
Natural Blend of Herbs and Spices
Services
Eye to Eye
>
All Inclusive
Life in the Middle
Pay as You Go
From a Distance
>
All Inclusive
Life in the Middle
Pay as You Go
Books
Book; Our Modern Mortal Trilogy
NitroGreens
New Client Register/Sign In
BrainSustain Vanilla Delight 10 Servings
BrainSustain Vanilla Delight 10 Servings