Is Green Mountain’s Healing with Food Program Right for You?

Rate each of the following symptoms based upon your typical health profile for the past 30 days.  Add up scores for each group, then add all for Grand Total.

If you score over 30, Green Mountain’s Healing with Food may be able to help.

Point Scale

• 0 – Never or almost never have the symptom.
• 1 – Occasionally have it, effect is not severe.
• 2 – Occasionally have it, effect is severe.
• 3 – Frequently have it, effect is not severe.
• 4 – Frequently have it, effect is severe.

Grand Total Scores

• Less than 10 is optimal.
• 10 to 50 = Mild
• 50 to 100 = Moderate
• Over 100 = Severe

The higher your score, the more likely our Healing with Food program can help you feel better and end struggles with eating and healthy living.

Questionnaire courtesy of the Institute for Functional Medicine