Mercury Toxicity Questionnaire 2

Continued from Mercury Toxicity Questionnaire 1.

Assessing the symptoms of mercury toxicity

The questionnaire below is taken from The Natural Recovery Plan book by Alison Adams and solicits answers to some (but not all) of the recognised signs and symptoms of mercury poisoning. The results of the questionnaire can give a broad indication of the degree of mercury toxicity within the cells, since this frequently does not show up in blood, urine, hair or nail analysis as the mercury is bound to the cell organelles (where it can cause disruption but not be detectable) and to the nervous tissue of the peripheral and central nervous systems.

Answer every question below which applies to your gender by selecting the radio buttons to which the answer is ‘yes’

1 Do you have CFS, fibromyalgia or an autoimmune disease?
2 Do you suffer with a profound fatigue that is not relieved by rest?
3 Do you constantly or frequently feel cold?
4 Do you frequently feel hot or cold when others are comfortable? 
5 Do you have unexplained and markedly different ‘good’ and ‘bad’ days?
6 Do you get frequent headaches and/or migraines?
7 Do you suffer from persistent or chronic insomnia?
8 Are you frequently drowsy and/or feel the need to sleep during the day?
9 Have you gained or lost weight without significant changes in your diet?
10 Do you frequently feel tired, weak or shaky just a few hours after eating?
11 Do you struggle to focus or does your ability to focus change during the day?
12 Has your colour vision deteriorated?
13 Do you have poor night vision?
14 Do you sometimes have difficulty moving your eyes?
15 Is your balance poor and/or do you frequently feel dizzy?
16 Is you hearing poor?
17 Is it difficult to distinguish conversation over background noise?
18 Do you have difficulty making sense of what you hear?
19 Do you have tinnitus (ringing in the ears)?
20 Do you have a poor sense of smell?
21 Was your puberty unusually early or late?
22 Do you have a history of infertility?
23 Is your libido poor or non-existent?
24 Do you need to urinate frequently or urgently?
25 Do you get up in the night to urinate more than once?
26 Do you persistently or frequently have a sore throat?
27 Do you have multiple chemical sensitivities? 
28 Do you suffer with allergies?
29 Do you suffer with chronic, recurrent or frequent infections?
30 Do you have frequent or recurrent athlete’s foot, ‘jock’ itch, thrush or cystitis?
31 Do you have difficulty making decisions?
32 Do you have trouble concentrating?
33 Has your intelligence diminished?
34 Do you have a poor memory?
35 Do you experience difficulty finding the right words?
36 Does it require a great effort to think clearly?
37 Do you have trouble multitasking?
38 Do you have trouble articulating words?
39 Do you have difficulty writing or doing tasks which require fine motor skills?
40 Are you clumsy and/or accident prone?
41 Do you have asthma or bronchitis?
42 Are you sensitive to tobacco smoke, petrol (gasoline) or paint fumes?
43 Do you get breathless easily?
44 Have you been told that you have particularly bad breath on occasions?
45 Does your heart occasionally race or hammer for no reason?
46 Do you have chest pains and/or angina?
47 Do you have either a slow/rapid heart rate or high/low blood pressure?
48 Do you have raised cholesterol levels?
49 Do you frequently feel faint?
50 Do you suffer with water retention (often affecting the legs)?
51 Do you have bleeding gums and/or tender or mobile teeth?
52 Do you occasionally get a metallic taste in your mouth? 
53 Do you get mouth ulcers?
54 Do you have an inflamed or burning mouth?
55 Do you have any bald or white patches on your cheeks or tongue (‘geographical’ tongue)? 
56 Do you suffer with diarrhoea and/or constipation?
57 Do you frequently have abdominal discomfort or pain?
58 Have you lost your appetite?
59 Do you tend to be very thirsty?
60 Do you have food intolerances (especially to dairy and gluten)?
61 Do you have extremely dry, itchy skin, eczema or psoriasis?
62 Do you either sweat profusely/get night sweats or are unable to sweat at all?
63 Does your sweat have an unusual cloying smell sometimes?
64 Do you bruise easily?
65 Do you frequently have cold hands and feet?
66 Do you have peeling skin on your hands, feet or ankles?
67 Do you have a puffy face or inflamed or flaky skin around your eyes?
68 Do you have a  build-up of dry skin on your hands and/or feet?
69 Do you occasionally get a pricking, fizzing, stabbing or crawling sensation in your skin?
70 Do you have red colouration of your skin which may worsen when wet?
71 Do you have weak nails that tear or flake easily?
72 Have you currently or historically lost any underarm, pubic, leg or head hair?
73 Is the quality of your hair poor and/or has the quality of your hair deteriorated?
74 Would you describe yourself as anxious or depressed?
75 Would you describe yourself as shy or withdrawn and easily embarrassed?
76 Are you easily angered, irritated or upset?
78 Does life seem and endless, joyless struggle?
79 Do you lack motivation and feel apathetic?
80 Are you easily overwhelmed or discouraged?
81 Do you seem to have upset others without understanding why?
82 Do you handle stress poorly?
83 Do you experience unexplained mood swings or have dark or suicidal moods?
84 Do you suffer with TMJ (jaw joint) dysfunction?
85 Do you have constant or frequent joint pain(s) and/or arthritis?
86 Do you have constant or frequent muscle pains?
87 Do you have any muscle tremors?
88 Do you have poor exercise tolerance?
89 Do you frequently get cramp in your legs?
90 Do your muscles tire easily?
91 Do you suffer with any tics or twitches – especially of facial muscles?
92 Do you have restless legs at night?
93 Is it particularly difficult to stand up?

Women only  

94 Do you have a history of heavy, missed or irregular periods?
95 Do you have a history of miscarriages and/or still births?
96 Do you have severe period pains and/or PMT?
97 Does your vagina and/or vulva occasionally or persistently feel raw or sore?
98 Does your menstrual bleed have a brown colouration?
99 Do you have uterine fibroids?
100 Do you occasionally or persistently suffer with urinary (stress) incontinence?

Men only 

94 Do you occasionally or persistently suffer with impotence?
95 Do you occasionally or persistently suffer with premature ejaculation?
96 Do you occasionally or persistently experience difficulty urinating?


Mercury toxicity questionnaire results

To assess your score, having answered all the questions that apply to your gender see the following:

Likely Degree of Mercury Toxicity Women Men
Some mercury toxicity 1-19 1-15
Mild mercury toxicity 20-39 16-35
Moderate mercury toxicity 40-59 36-55
Severe mercury toxicity 60-79 56-75
Mercury poisoning 80-100 76-96

If you know of someone who you think might be suffering with mercury toxicity even though their symptoms might have been given one or more ‘disease labels’, especially if their disease is regarded as ‘mysterious’ or ‘autoimmune’, please send them the link to this page and have them fill in the questionnaire for themselves.

Relevant products:

For more information about the health impact of mercury-containing dental amalgam read The Natural Recovery Plan by Dr Alison Adams. Click the relevant link below for UK or US Amazon.

Natural Recovery Plan book icon


Relevant links:

blue-bulletVideo: Symptoms of mercury poisoning

blue-bulletVideo: A history of mercury poisoning

blue-bulletMercury poisoning from dental amalgam: Special request

blue-bulletAudio: Dr Alison Adams’ RedIce interview

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  • Diane

    This is very useful–thank you! However, I wonder if it’s wise to call mercury toxicity “mild” with 30 symptoms. I answered this as if for my friend because I know most of her symptoms. Over the years she has developed autoimmune thyroiditis, hypertension, mental problems including bipolar and depression (with episodes of psychosis when younger, maybe after dental procedures but who knows?). Now she has been diagnosed with strokes and Parkinson’s, and is likely on her way to Alzheimer’s (she fears so). All of these (plus many of the uncomfortable/inconvenient symptoms above) are likely related to mercury. She also has diabetes, and many symptoms of severe adrenal fatigue. My opinion is that if she addressed her mercury problems, she could reverse many or most of these problems. But if her problem is only “mild,” she may not take it seriously or find motivation to address it.

    So, I wonder if there could be a better way of describing the results. I’m not sure what, but wanted to suggest it just in case. Thanks!