Complete the questionnaire to find out if fatty acid supplementation is recommended for your child.

No = Symptom is not present
Yes = Symptom is prevalent most of the time

The results you receive are not a definite diagnosis.

  • Yes

  • No
1 Does your child have dry skin?
2 Does your child perspire easily?
3 Is your child thirsty?
4 Does your child have small bumps on the back of his/her arms?
5 Does your child get hot easily?"
6 Does your child suffer with allergies?
7 Does your child crave fatty foods e.g butter
8 Does your child have difficulties is settling at night or waking in the morning?

Your name*
Child's name*
Contact number*
Email address*