Medical Symptom Questionnaire — Baseline

Complete this before you begin Root Cause Skin Reset. For each item, rate how much the symptom has affected you over the past 30 days using this scale:
0 = Never or almost never have the symptom  |  1 = Occasionally, mild effect  |  2 = Occasionally, severe effect  |  3 = Frequently, mild effect  |  4 = Frequently, severe effect