Somatic Adaptation Assessment Scale Test - the question form
Questions: 17 · 4 minutes
1. Do you have any of the following: stomach or abdominal pain or upset stomach, belching, heartburn?
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
2. Pain, heaviness, or uncomfortable sensations in the area of the heart.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
3. Pain, shortness of breath, or other breathing-related discomfort; cough.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
4. Pain or discomfort in the kidney area, or related to urination.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
5. Runny nose, colds, sore throat.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
6. Dizziness, unsteady gait, loss of consciousness, or fainting spells.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
7. Seizures or convulsions with a high body temperature, after physical exertion, during nervous strain, when hungry, or in other situations.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
8. Easy bruising or bleeding.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
9. Numbness in the arms and legs.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
10. Pain or discomfort in the muscles, joints, or spine, or pain/discomfort related to movement.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
11. Swelling in the legs or face.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
12. Skin rash, changes in skin color, hardening of the skin or tissue under the skin, or skin or subcutaneous lumps.
1 – Is present and has always been present
2 – Has been present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
13. Headaches.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
14. Allergic reactions (hives, itching, welts).
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
15. A general feeling of being unwell.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present
16. Sudden feelings of weakness and hunger.
Present and has always been present
Present for a long time
Appeared recently
Was present in the past, but not now
Not present and has never been present
17. Toothache, gum inflammation.
1 – Present and has always been present
2 – Present for a long time
3 – Appeared recently
4 – Was present in the past, but not now
5 – Not present and has never been present