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 FM Expert Archive
Dicken Weatherby, N.D.
Jeffrey Moss, DDS, CNS, DACBN
Andrea Girman, M.D.
Aristo Vojdani, PhD
Daniel Kalish, D.C
David Quig, PhD
Joel Evans, PhD
Joel Yaffa, M.D.
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Richard Lord, PhD
Sheila Dean, DSc, RD, CCN
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Questionnaires
Functional Medicine and Functional Diagnosis Questionnaires

Welcome to the archive page for Functional Medicine and Functional Diagnosis Questionnaires. Please click the links below to access the content. Please note that some files are reserved for our FMTown Premium Members. Click here for more info on how to upgrade your membership to access this content. Certain questionnaires are released with their respective training module.

DOWNLOAD: Functional Medicine Progress Report
DOWNLOAD: Functional Medicine Progress Report The following questionnaire represents the data gathering tool you can use to track your patient's progress as they move through your diagnostic and treatment phases of care. . . . keep reading
NAQ Manual Assessment Guide
NAQ Manual Assessment Guide The Nutritional Assessment Questionnaire is an integral part of the Foundations of Functional Diagnosis system. It is the questionnaire Dr. Weatherby recommends you use to gather functionally oriented signs and symptoms information from your patients. This guide is an excerpt from my book Signs and Symptoms Analysis from a Functional Perspective and walks you through the manual interpretation of the NAQ. . . . keep reading
DOWNLOAD: S/SX Analysis Questionnaires
DOWNLOAD: S/SX Analysis Questionnaires The Nutritional Assessment Questionnaire from Dr. Weatherby's Signs and Symptoms Analysis book is a great way to gather an initial functional history from your patients. The questionnaire asks 322 questions that are organized into 4 main categories: Diet, Lifestyle, Medications, and Body Systems. . . . keep reading
DOWNLOAD: Heavy Metal Symptom Profile Questionnaire
Dicken Weatherby, ND
DOWNLOAD: Heavy Metal Symptom Profile Questionnaire This questionnaire gathers symptoms from your patients that are suggestive of heavy metal toxicity. The list was taken from "The Complete Guide to Mercury Toxicity from Dental Fillings", by Joyal Taylor, D.D.S. . . . keep reading
DOWNLOAD: Questionnaire & Handouts for Functional Detox Program
Dicken Weatherby, ND
DOWNLOAD: Questionnaire & Handouts for Functional Detox Program The following represent the main handouts you can use with the patients you run through the 21-day "Functional Detoxification Program". The majority of the handouts are in Microsoft Word format so please feel free to make them fit your specific needs. . . . keep reading
The Nutritional Assessment Questionnaire
The Nutritional Assessment Questionnaire The Nutritional Assessment Questionnaire, or NAQ, is the health assessment questionnaire I use to get valuable clinical information from patients. It is one of the essential data gathering tools in my "Foundations of Functional Diagnosis System". . . . keep reading
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Here's what our members are saying ...
I can't believe this! This is what I have been searching for, for 20 yrs! Up at 5.30am on a Saturday to study! Thank You FMTown people!!

Mark Leder
New York, USA


Dr. Weatherby has put together a fabulous set of reference materials. Not only are they well organized but they are clinically relevant, concise and I would not be the doctor I am today without them. As far as individuals I like to learn from; Dr. Weatherby is at the top of the list!
Tim Irving, DC
Portland, Oregon, USA


After 30 years practicing chiropractic practice became rather routine. Dicken's training material in Functional Diagnosis has made practice fun again. His teaching methods and materials are easy to follow and easy to apply in practice. Now I am able to help far more patients than ever before.
Alvin Graun, DC
Westmont, Illinois USA

Dicken, thank you so much your Functional Diagnosis Training! Your training materials and books are invaluable in my practice. I thank you again, but, more importantly, my patients thank you.
Kim Shunkwiler
Westland, MI