Symptom Survey
Tissue Mineral Analysis
Telephone Consultation
email Consultation
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SERVICES

THE SYMPTOM SURVEY
$50.00

Often, we may experience a problem of a particular nature, and may not be able to ascertain why we are having it, or where it's coming from.
The Symptom Survey is an excellent tool designed to help the client to find the root cause of the problem.

Approximately 185 questions are rated a 0, 1, 2, or 3.
The doctor will analyze the Symptom Survey and provide the client with a written report showing where the focus of the problem is, and make recommendations as to how to alleviate the problems. These recommendations are in the area of nutrition and supplementation only.

To purchase the Symptom Survey or both the Survey and Mineral Analysis please click on the link below and fill out the Symptom Survey. Upon completion of the Survey Form and receipt of payment, you will be sent your written report from the doctor. Please indicate on the form if you would like to receive your report via email or USPS mail. If purchasing both the Survey and Mineral Analysis, your test kit will be sent upon receipt of payment.

Symptom Survey Form

Mailing address for payment by check or money order:
Dr. Eva Urbaniak
P.O. Box 31051
Seattle, WA 98103-1051

SPECIAL! Save $25.00! Get BOTH the Symptom Survey and a Hair Analysis Report, normally $150.00, for only $125.00.
If purchased individually, regular prices apply.

If you have questions for Doc Eva, please feel free to email her at docevaonline.com

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