Neurotransmitter Questionnaire


Type 1

Do you have a tendency to be negative, to see the glass as half-empty rather than half-full? Do you have dark, pessimistic thoughts? 3

Do you really dislike the dark weather or have a clear-cut fall/winter depression (SAD)?  3

Are you often worried and anxious?  3

Do you have feelings of low self-esteem and lack confidence? Do you easily get to feeling self-critical and guilty? 3

Does your behavior often get a bit, or a lot, obsessive? Is it hard for you to make transitions, to be flexible? Are you a perfectionist, a neatnik, or a control freak? A computer, TV, or work addict?  3

Are you apt to be irritable, impatient, edgy, or angry? 2

Do you tend to be shy or fearful? Do you get nervous or panicky about heights, flying, enclosed spaces, public performance, spiders, snakes, bridges, crowds, leaving the house, or anything else?  3

Are you hyperactive, restless, can’t slow down or turn your brain off? 3

Have you had anxiety attacks or panic attacks (your heart races, it’s hard to breathe)? 2

Do you have facial or body tics, or Tourette’s? 4

Do you get PMS or menopausal moodiness (tears, anger, depression)? 2

Do you hate hot weather? 3

Are you a night owl, or do you often find it hard to get to sleep, even though you want to? 2

Do you wake up in the night, have restless or light sleep, or wake up too early in the morning? 2

Do you routinely like to have sweet or starchy snacks, wine, or marijuana in the afternoons,  evenings, or in the middle of the night (but not earlier in the day)?  3

Do you find relief from any of the above symptoms through exercise?  2

Have you had fibromyalgia (unexplained muscle pain) or TMJ (pain, tension, and grinding associated with your jaw)? 3

Have you had suicidal thoughts or plans?  2




Type 2.

Do you often feel depressed – the flat, bored, apathetic kind? 3

Are you low on physical or mental energy? Do you feel tired a lot, have to push yourself to  exercise? 2

Is your drive, enthusiasm, and motivation quota on the low side?  2

Do you have difficulty focusing or concentrating? 3

Are you easily chilled? Do you have cold hands or feet? 3

Do you tend to put on weight too easily? 2

Do you feel the need to get more alert and motivated by consuming a lot of coffee or other “uppers” like sugar, diet soda, ephedra, or cocaine? 3



Type 3.

Do you often feel overworked, pressured, or deadlined? 3

Do you have trouble relaxing or loosening up? 1

Does your body tend to be stiff, uptight, tense? 1

Are you easily upset, frustrated, or snappy under stress? 2

Do you often feel overwhelmed or as though you just can’t get it all done? 3

Do you feel weak or shaky at times? 2

Are you sensitive to bright light, noise, or chemical fumes? Do you need to wear dark glasses a lot? 3

Do you feel significantly worse if you skip meals or go too long without eating? 3

Do you use tobacco, alcohol, food, or drugs to relax and calm down? 2



Type 4.

Do you consider yourself or do others consider you to be very sensitive? Does emotional pain, or perhaps physical pain, really get to you? 3

Do you tear up or cry easily – for instance, even during TV commercials? 2

Do you tend to avoid dealing with painful issues? 2

Do you find it hard to get over losses or get through grieving?  3

Have you been through a great deal of physical or emotional pain? 2

Do you crave pleasure, comfort, reward, enjoyment, or numbing from treats like chocolate, bread, wine, romance novels, marijuana, tobacco, or lattes?  3




Type 5.

Do you crave a lift from sweets or alcohol, but later experience a drop in mood and energy after ingesting them? 4

Do you get dizzy, weak, or headachy if meals are delayed? 3

Do you have a family history of hypoglycemia, diabetes, or alcoholism? 4

Are you nervous, jittery, irritable, inattentive on and off throughout the day; but calmer after meals? 3

Do you have crying spells? 2

Do you have intermittent mental confusion, forgetfulness, difficulty concentrating?  2

Do you have heart palpitations, rapid pulse? 3

Do you have frequent thirst? 4

Do you get night sweats (not menopausal)? 4

Do you get sores on legs that take a long time to heal? 4