Fifteen edits. None of them add length the client will feel, because eight of them replace an open text box with a tap.
Every question changed after clients start submitting means either reparsing history by hand or living with two incompatible data shapes forever. Today this is an afternoon of form editing.
Open boxes today, and they carry the highest blood sugar and thyroid signal on the form. "Sometimes" cannot be scored.
Open → 02 · 6 QUESTIONS New questionsSymptoms the form never asks about, each one core to a priority the SOP names.
Open → 03 · STRUCTURAL Draw contextCycle day and fasting status at the blood draw. Without it, several markers are being read blind.
Open → 04 Leave aloneThe cycle section is the best-built part of this form. Do not touch it.
Open →Convert to scales
All eight are open text boxes today. Use the same four-point frequency scale on the first five so the client learns the pattern once.
Do you often feel excessively hungry?
Replace withHow often do you feel hungry again soon after eating?
○ Never ○ Occasionally ○ Often ○ Daily
Blood sugar. Reads against fasting insulin, glucose and GlycoMark.
Do you have little or no appetite?
Replace withHow often do you have little or no appetite?
○ Never ○ Occasionally ○ Often ○ Daily
Digestive function, thyroid, and low stomach acid patterns.
Do you often crave sugar?
Replace withHow often do you crave sugar or carbohydrates?
○ Never ○ Occasionally ○ Often ○ Daily
One of the strongest blood sugar signals on the whole form.
Do you often crave salt?
Replace withHow often do you crave salt or salty foods?
○ Never ○ Occasionally ○ Often ○ Daily
Adrenal and electrolyte patterns. Reads against sodium, potassium and the sodium to potassium ratio.
Do you often feel tired after meals?
Replace withHow often do you feel tired or sluggish within an hour after eating?
○ Never ○ Occasionally ○ Often ○ Daily
Post-meal glucose response. Pairs directly with GlycoMark, which is the reason that marker was added to the panel.
Do you experience digestive difficulties?
Replace with a checklist, then keep the open box as a follow-upWhich of these do you experience? Check all that apply.
☐ Bloating ☐ Gas ☐ Constipation ☐ Diarrhoea ☐ Heartburn or reflux ☐ Nausea ☐ Stomach pain ☐ None of these
Anything else about your digestion you would like us to know?
[ open text, optional ]
Keep the free text. It is genuinely useful. The checklist just makes the common answers comparable across clients.
How many days per week do you experience constipation? / diarrhea?
Replace with numbersIn a typical week, how many days do you experience constipation?
[ number, 0 to 7 ]
In a typical week, how many days do you experience diarrhoea?
[ number, 0 to 7 ]
A number instead of "a few, depends on the week."
How often do you have a bowel movement?
Replace with a pickerHow often do you have a bowel movement?
○ More than 3 times a day
○ 1 to 3 times a day
○ Every other day
○ About twice a week
○ Less than twice a week
Thyroid, motility and detox capacity all read here.
New questions
Do you tend to feel colder or warmer than the people around you?
○ Usually colder, especially hands and feet
○ About the same as everyone else
○ Usually warmer, I overheat easily
○ It varies a lot
Temperature intolerance is a first-line thyroid question and the form does not ask it anywhere.
Have you noticed changes in your hair, skin or nails? Check all that apply.
☐ Hair shedding or thinning
☐ Brittle or splitting nails
☐ Dry or rough skin
☐ Hair feels dry or brittle
☐ None of these
Reads on thyroid, ferritin and protein status at once. Cheap question, high yield.
Over the past month, how often have you been bothered by each of the following?
Grid, each row: Never / Several days / More than half the days / Nearly every day
Low or down mood
Anxiety or feeling on edge
Irritability or a short fuse
Brain fog or trouble concentrating
Low motivation
The form asks about stress and about the cycle, but never asks directly and comparably about mood itself. On a product called the Mood Root Cause Assessment, that is the gap that matters most. A grid keeps it to one screen.
Do you feel dizzy or lightheaded when you stand up quickly?
○ Never ○ Occasionally ○ Often ○ Daily
One line, reads on three separate priorities.
Do you get headaches or migraines?
○ No
○ Yes, but not related to my cycle
○ Yes, and they cluster around my period
○ Yes, and they cluster around ovulation
○ Yes, and I am not sure of the pattern
Cycle-timed headaches are a distinct hormonal signal and the timing is the whole value of the question.
On a scale of 1 to 10, how much is your top health concern affecting your daily life right now?
[ 1 to 10 scale ]
The form already asks for her top five concerns as free text. One severity number turns that list into something you can weigh against the clinical ranking, and the gap between what she thinks is wrong and what the panel says is worth showing her in the report.
Draw context
What date was your blood drawn?
[ date ]
Had you fasted for at least 10 hours before your draw?
○ Yes ○ No ○ Not sure
Fasting glucose, insulin and triglycerides are uninterpretable without this. A non-fasted draw does not invalidate the panel, but reading it as fasted does.
What was the first day of your last period before the draw?
[ date, with a "not applicable" option ]
Several markers move across the cycle. The lab pipeline already has a cycle_dependent state built into its scoring model, so the machinery to use this exists and is currently being fed nothing.
Leave alone
Also leave as is:
- The typical-day walkthrough. It is the single richest field in the document, carrying meal timing, caffeine, supplement timing, work rhythm and wind-down in one paragraph. It gets its own extraction pass in the pipeline.
- The supplements, medications, birth control and diagnoses tables. Already structured, already parseable.
- The environmental exposure grid. Past and present columns are exactly right.
- The trauma and life experiences question. Optional, gently worded, and appropriately open. Never constrain that one.
One small fix while you are in there
The "Foods you avoid" table has two columns both labelled Food, with the third labelled Symptoms or reason. One of the first two is almost certainly meant to be something else. Worth checking against the live form before transcribing anything.