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Want Results? Stop Taking The Wrong Vitamins! Best To Test Before You Buy!

 
     
Stress Opinionnaire

Is Stress Adversely Affecting Your Health?


  • Instructions regarding this Free Evaluation and Request Form Below.
  • A List of Each Type of Stressor is Provided In Right Column.
  • Their Definitions Are Provided in Below and in Right Column.
  • A Link To All Four Evaluations is Provided At The End of Right Column.

 

INSTRUCTIONS
    
To Receive Your "FREE" Evaluation

  1. To show our appreciation and to say "Thank You" for subscribing, Dr. Smith offers your choice of one of four FREE EVALUATIONS.  Refer to right column for List of Free Evaluations and link to their web pages, as well as information on obtaining additional FREE EVALUATIONS. 
  2. To obtain the Stress Opinionnaire (SO), please complete the " Evaluation Request Form." below.  This information is confidential and the questions asked either assist us with processing your Questionnaire for Evaluation or help us with demographic and marketing information.   Each question must be answered on the Request Form to receive the Stress Opinionnaire.
  3. Your personal contact information on this Request Form will only be used as it relates to processing your questionnaire and Evaluation, unless you, otherwise, indicate on this form.
  4. Upon receipt of your Evaluation Request Form, you will be emailed to you within 1-7 days with the User's Name and Password to access the web page titled, "EVALUATION - STRESS" so you may print its questionnaire, obtain the assessment (or evaluation) of your answers and Dr. Smith's recommendations.
  5. Important Note:  When you open the Evaluation web page, immediately click on the PDF Icon to print your questionnaire.  Then complete your questionnaire before reading the Evaluation web page.  Otherwise, the information on the Evaluation web page may influence your answers on the questionnaire.
  6. Why up to one week?  1) Sending your password is not an auto-reply, 2) this allows us to verify your subscription to our newsletter and/or your referred subscriber(s), which qualifies you for the Evaluation(s) of your choice, and 3) due to the volume of incoming Free Evaluations, this allows us time to assure that we are able to fulfill all requests.  Thank you for your patience. 
  7. How Do We Know Who Are Your Referred Subscribers?  On the Subscription Information Form, your referral should put your name in the space provided for "Who or What Referred You?"
  8. Please be sure that you add our email address to your "accepted email" feature so that your Questionnaire and issues of HealthQuest e-Newsletters will not go to Junk Mail. Thank you for subscribing.
  9. Should you have any questions about your Questionnaire, the Evaluation Results or any information on its Evaluation web page, please feel free to schedule an Inquiry Telephone Consultation with Dr. Smith, at no charge, by calling (940) 761-4045.
Links to each Free Evaluation and information on how to obtain additional Evaluations are provided in the right column.

 
     
STRESS OPINIONNAIRE
REQUEST FORM


 
EVALUATION REQUEST FORM - PLEASE CAPITALIZE ALL ANSWERS. THANK YOU. Date:
First, Middle Initial, Last Name:
Birthdate
Age
E-mail Address
Who or What Referred You to us? If internet search, please list keywords.
Cell Phone() -
Daytime Phone (Is this Home or Work#)() -
Evening Phone (Is this Home or Work#)() -
Best Days To Call (M-F)
Best Times of Day (C.S.T.)
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Address Line 2
City
State
Zip Code
Country
I am completing the DEO (Diet) Yes/No
Have you completed a DEO before? Yes or No
I am completing the NSQ (Nutrient Supplements - Symptoms Warrant Supplementation (Yes/No)
Have you completed a NSQ before? Yes or No
I am completing the Stress Opinionnaire (Yes/No)
Have you completed a Stress Opinionnaire before? Yes or No
I am completing the Toxicity Questionnaire (Yes/No)
Have you completed a Toxicity Questionnaire before? Yes or No
Do you want to schedule a Free Telephone Consultation with Dr. Smith to discuss the Evaluation Results? Yes, No, Maybe, Depends On The Results?
What prompted you to browse our website and what are you specifically wantinig help with or questions you want answered?
Are you interested in improving your overall health, starting with your most challenging health concerns, help with just your major health concerns, or a one-time nutritional support program to speed recovery of an acute illness or injury, or all of the above, as needed?
What is the approximate number of years you have been taking vitamins or other food supplements? Provide date or put "Never Taken."
Is there any other information Dr. Smith should know in assessing your Evaluation?
List of Names and Emails of People You Referred To Obtain Additional FREE Evaluations. Referrals are the highest compliment you can give us and we thank you, warmly.
 

Electro-Magnetic Field (EMF) Stressors

Electro-Magnetic Field Stressors are non-human electrical fields that adversely affect the human body, such as the electrical  exposure from wearing cell phones, long hours at computers or television, florescent lighting, working near electrical power plants, etc.  

Our homes and offices are inundated by electrical frequencies from air conditioning, refrigerators, micro-waves, clocks, radios, television and  all other electrical appliances and machines.  

These artificial (made man) electrical currents interfere with and interrupt the human body's electrical system as it attempts to direct and communicate to/from all biological, biochemistry, and physiological processes of the cells, tissues, organs, glands and systems.  This can cause an acceleration in the use of nutrients, resulting in nutrient depletion, and then cause electro-magnetic field illnesses and diseases.  

In addition to assisting our clients in healing  their body from the adverse affects of short- and long-term EMF exposure, we also coach them on what they need to do to deflect incoming or ongoing EMF exposure, such as cell phone, TV, computer EMF protectors.

Where toxic substance, such as chemical, metals, fumes, glass, chemical or metal substances enter the body through its openings, i.e., ears, nose, eyes, mouth, as well as the pores of the skin.  Electrical frequencies do not need a body opening, they pass right through all areas of the body.


 

Physical and Structural Stressors

Physical and Structural Stressors are, for example, a sprain or injury to the muscles and back from hard physical labor or on the job accidents and injury.  Any physical or structural stress requires nutritional support, such as to heal broken bone. 

This also includes supporting the body nutritionally any time there is a need for physical therapy or chiropractic treatment for a more rapid and complete recovery. 

When  an area of the body, such as the bones and muscles, are already suffering with vitamin and minerals deficiencies, physical or structural stress can lead to further weakness.  This then increases the risks of and eventually leads to injury and/or degeneration of the physical structure of  the human body.

Matching Dietary Intake to Exercise Output
What is frequently overlooked today among athletes and those who regularly exercise, is matching dietary intake to energy output and physical/structural stress. energy and physical stress.  Extremes of this is news reports of young athletes who seem fit, but die instantly from a heart attack during a competitive event.  What is required is a clinical nutrition analysis of your biochemistry so that a "sports" or "exercise" nutritional supplement and dietary program can be designed to meet the  adverse affects of "Physical and Nutritional" Stressors.  When changes are made in sport training or exercise routine, a clinical nutrition reassessment is required to adjust program to meet the requirements and counter adverse affects of new Physical and Nutritional Stressors.


 
Recurrence Vertebrae Subluxations
Are a Sign Of Nutrient Deficiencies


It takes only 3-7 chiropractic adjustments to correct a subluxated vertebrae when the musculo-skeletal system is nutritionally sufficient.
 The only exception is if subluxation is due to accidental injury. 

In case of injury, taking therapeutic supplements to speed recovery and restore nutrient sufficiency will reduce the number of adjustments required to correct subluxations.

Continued in bottom-right column.

 

 

What Is A Stressor?

A Stressor is the term used to describe various factors and/or substances that stress the metabolism and internal biological processes of the human mind and body.

Stressors deplete the body of both macro- nutrients (protein, carbohydrates, fats/oils) and micro-nutrients (vitamins, minerals, water), interrupt the neurological and circulatory flow of nerves and blood, respectively, and poison cells, tissue, organs, glands, and body systems. 

Below is a list of each Stressor.


 

STRESSORS
 
  • Chemical
  • Nutritional
  • Mental, Emotional, Spiritual (MES)
  • Physical / Structural
  • Electro-Magnetic Fields (EMF)
Definitions are provided below, except for Physical/Structural and EMF, which are located below the
Evaluation Request Form.

 

Chemical (and Metal) Stressors

Chemicals (and Metals) include exposures to toxic chemicals, metals or some other substances toxic (harmful) to the human body, whether the exposure is lethal instantly or  the human is exposed to or ingests the chemicals (or metals) in small amounts for a long period of time,.  Over-time, small daily or frequent ingestion of or exposure to has a harmful collective, adverse affect on the human mind and body.

Chemical are found in drugs (over-the-counter and prescribed), in foods (dyes, additives, preservative), on foods (herbicide and pesticide spraying), air, water, metals come through pipes (such water may include copper from copper pipes).  Chemicals and metals are found personal care products, hair, skin and body care, such as aluminum in deodorants.  Metals used to make jewelry or used in clothing, or inserted as biological implants, such as hip replacement, etc.  Copper in female IUD's, a device for birth control, causes excessive copper toxicity.


 
    
Nutritional Stressors

Nutritional relates to vitamin, minerals, amino acids, enzymes, proteins, carbohydrates, and other nutrients which are insufficient, deficient or excesses in the body and, thereby, adversely affects the chemistry of the human mind and body  (biochemistry).  

Nutritional and Chemical Stressors also include vitamin and mineral depletion which results from long - term intake of drugs (over the counter or prescribed medicines), poor diet, taking the wrong vitamin supplements or from engaging in a repetitive physical  activity, such as overactive wrist movement that depletes the nutrients of the cells and tissue, such as the wrist, leading to Carpal Tunnel.


 
         
Mental, Emotional and Spiritual (MES) Stressors


MES Stress is when activity, events, attitudes and behaviors occurs and the human mind or body is unable to adapt to the stressor, without being harmed on some MES or physical level. This starts with our relationship with ourselves, our God and others.  Self would include one's thoughts and beliefs about one's self, negative self-talk, low self-esteem, etc.

Difficult Relationships, such as abusive (verbal or physical) family interactions to difficult personalities of co-workers, authority figures, or stress from mental activities or the affects on the mind from physical activity, such as one's job duties, lack or restless sleep and long-term work hours (such as the long hours of the business person, truck driver, medical professional, etc.). 

Community Service Occupations, such as  policemen, firemen, ambulance drivers, etc., spike their adrenals with every crisis..  This up and down of adrenal hormone release, multiple times in a day, over time adversely affects the entire endocrine function.  This then leads to fatigue - mentally and physically, mood swings, immune dysfunction, loss of libido and a myriad of other health challenges as health breakdown process occurs. 

Mental, emotional and spiritual stressors in work and home relationship dynamics with verbal abuse, violent or unkind tempers, bad manners, lack of empathy and forgiveness, etc., are also examples of MES stressors.

Additionally, vitamin and mineral deficiencies, affecting brain function and hormone imbalance causing violent or irritable behaviors, depression, mood swings, anxiety, panic attacks, etc., are also mental, emotional and spiritual stressors.

MES Stressors deplete the mind and body of nutrients that then causes more MES Stress.  Anything that stresses the mind, emotions or spirit of a person adversely affects the whole body and vice versa.


 

Four Free Evaluations
To Choose From...


  • Dietary Evaluation Overview (DEO)
  • Nutrient Supplement Questionnaire (NSQ)
  • Stress Opinionnaire (SO)
  • Toxicity Questionnaire (TQ). 
After reading this webpage regarding the Toxicity Questionnaire/Evaluation, you may click on the above links to review information on the other 3 of the 4 FREE Evaluations to make a decision regarding which FREE Evaluation you would like to select as our "Thank You For Subscribing."  Then by referring three more friends to subscribe, you qualify for all Four Evaluations.  Complete the EVALUATION REQUEST FORM  to receive Passcodes to open web page for the Questionnaire and Evaluation you have selected.

 

Subluxated Vertebrae (Continued)
   
No Amount of Chiropractic Adjustments Will Succeed In Correcting A Subluxated Vertebrae When Musculo-Skeletal System is Nutritionally Deficient. 

Nutrient deficient clients in need of chiropractic adjustments are provided specific therapeutic supplements prior to chiropractic treatment.


 
FOOTNOTE
Secure Website Info - Disclaimer - Copyright

Last Website Update: 04/16/2022
 
Disclaimer:  Information provided in website for nutritional educational purposes only and not for diagnosis or treatment of any medical condition, disorder or disease
.
MAILING ADDRESS:  P. O. BOX 4652, WICHITA FALLS, TX 76308-0652
Copyright 2004  Dr. Donna F. Smith  --  .NET 8/22/18
A Word from Dr. Smith regarding this Secure Website.  "I have had this website since the early 1990's.  As you can see by its design, it is from an original style where the left column is the navigation bar, instead of today's contemporary websites that have a drop-down Menu.  From the onset, this site has been secure from viruses and malware and still is. 

You may have noticed Google is now placing a padlock icon to the left of website addresses, which can be misleading if you do not know what it means.  If the padlock has a red slash across it, this means that the website is not secure for credit card processing.  A red slash does not mean the website is not secure from viruses and malware.  To be secure for card processing, the website requires an SSL (Secure Socket Layer) Certificate and special coding for this purpose. However, “Information only” websites, like this one, do not require an SSL because no currency is being processed through the website. Still, Google is placing the padlocks on all websites, and this is very misleading to those who do not understand their meaning.

Before the SSL Certificate and Coding, “https:/” represented websites that were SSL secure for card processing and “http:/” websites were not.  However, though an http:/ website is not secure for card processing that does not mean that it is not secure against viruses and malware.

Please be assured that websites with http:/, padlocks with red slashes, and pop-up warning signs are now an "automatic" response from Google crawlers when they come across a website that does not have an SSL (i.e., does not a padlock without red slash), even if the website does not require one (like information only websites) OR the website cannot be coded for an SSL Certificate because it is an original website design from the 1990's or earlier. This website is both…it does not require an SSL because it is an information only website and it cannot be coded for SSL because of its original design; hence it will always have the red slash over the padlock. .

This website contains over 1000 educational webpages, which our contemporary websites are not designed to accommodate any more. This is why I plan to maintain this original design website from Network Solutions, who guarantees all of its websites are all virus and malware free, whether of original or contemporary design, and currently I do not provide a website that processes card payments.

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