Detox Assessment Form

Quick Detoxification Assessment Questionnaire

The form below will give you a measure of your general toxicity level. Of course, the higher your toxicity the more beneficial a detox can be for you.

Please check each item that applies to you.

We’ve calculated your score to be:

  • Mild toxicity 16-32
  • Moderate toxicity 36-64
  • Severe toxicity 68-100

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