FORMS - FOR EVALUATION, IMPLEMENTATION, PROGRESS REPORTING
To Be Used Before Starting, During AND at the End of Program.
instructions for using these forms are provided in the "Dietary Program and Special Instructions" PDF Document above.
They are listed in the order that you will print and use them the first time.
HEALTH APPRAISAL COMPREHENSIVE (HAC) QUESTIONNAIRE (6-Pages)
Print two copies of the HAC Questionnaire.
Please indicate on the questionnaire, under the date, whether the questionnaire is submitted for "Pre- or Post-FBD."
Pre-FBD: Complete one HAC Questionnaire before beginning Full Body Therapeutic Supplements.
Post-FBD: Complete the other HAC Questionnaires three days after Full Body Detoxification Program is "officially" finished.
Dr. Smith may request that you complete a Post-30 Day or 60 Day HAC Questionnaire, dated from the date of the Post-FBD HAC Questionnaire. If this applies to you, indicate under the date, Post-30 Day or Post 60 Day, whichever applies.
Instructions for Completing - open PDF document at top right to complete this form before starting program.
Open and print the PDF Icon Document for Page 1 (Symptoms 1-21) and 2 to the right.
If you are a current client of Dr. Smith's and the Full Body
Detoxification program is part of your therapeutic program, please
follow the instructions under "Current Clients" at the bottom of this webpage. If you arenew client, and this program is the first therapeutic supplement program recommended by Dr. Smith, follow "FBD Clients" instructions.
If you were introduced
to the Full Body Detoxification Program at one of Dr. Smith's Onsite
Clinics, Special Community Event or Seminar, please follow the
instructions below, under "FBD Clients."
This one-page PEP Article provides some vitally important information about digestive leukocytosis, infections, auto-immune diseases, upper
gastro-intestinal dysfunction/diseases and degenerative diseases caused by eating food that has been cooked above its critical
temperature.
IMPORTANT NOTE: This recipe has been provided for your use AFTER you have completed your Full Body Detoxification Program so you can order the ingredients by the end of the program and thus be able to make and eat the only healthy kind of bread, after cleansing your body so you do not have to return to the other toxic breads. As you learned from reading the above document on Cooking Temperatures, even if other breaks are made with organic ingredients, they are baked at too high a temperature and the bread is too porous to be healthy for the human body. After investing time, energy and money in this internal detoxification program, you certainly don't want to pollute your body or cause infections again, from the bread you eat.
So contact us at least seven days before the end of your cleanse and order one of each of the following ingredients to make your own Flat Bread:
Information provided in this website is for nutritional educational purposes only and not for the diagnosis, or treatment of any medical condition, disorder or disease.
Copyright 2004 Dr. Donna F. Smith -- Last Website Update: OCT 31, 2017 11:45 AM CST