TOBIN Score Calculator

1. THow often are you around solvents, fumes, dusts, metals or industrial chemicals at work?

   NeverRarelySometimesOftenDaily

2. THow often do you eat or drink from plastic containers, or heat food in plastic?

   NeverRarelySometimesOftenDaily

3. THow often do you use fragranced personal-care or cleaning products?

   NeverRarelySometimesOftenDaily

4. THow often are pesticides or herbicides used in your home, garden or neighborhood?

   NeverRarelySometimesOftenDaily

5. THas your home had water damage, dampness or visible mold?

   NoLong ago, remediatedPast, unclear remediationCurrent problem

6. OHow many hours do you usually sleep?

   7–9 hours, regular7–9 hours, irregular6–7 hours5–6 hoursUnder 5 hours

7. OHow often do you feel exhausted even after rest?

   NeverRarelySometimesOftenDaily

8. OHow many days a week do you exercise?

   5 or more3–41–2Less than weeklyNone

9. ODo you smoke, vape, or spend time around tobacco smoke?

   NeverRarelySometimesOftenDaily

10. BDo you notice hormonal symptoms such as cycle irregularity, hot flushes, low libido or breast tenderness?

    NeverRarelySometimesOftenDaily

11. BHow much has your weight changed in the past two years without an intended change?

    StableUp to 3 kg / 7 lb3–7 kg / 7–15 lb7–14 kg / 15–30 lbMore than 14 kg / 30 lb

12. BHow often do you have cold intolerance, hair thinning, constipation or unexplained slowing?

    NeverRarelySometimesOftenDaily

13. BHow often is your stress level high enough to affect sleep or appetite?

    NeverRarelySometimesOftenDaily

14. IHow often do you have allergy symptoms — sneezing, itching, hives, wheeze or eczema?

    NeverRarelySometimesOftenDaily

15. IHow often do you have bloating, pain, urgency or irregular stools?

    NeverRarelySometimesOftenDaily

16. IHow often do you get infections needing antibiotics or antivirals?

    NeverRarelySometimesOftenDaily

17. IHow often do you have joint pain, stiffness or swelling?

    NeverRarelySometimesOftenDaily

18. NHow much of your food is packaged or ultra-processed?

    Almost noneAbout a quarterAbout halfMost mealsNearly everything

19. NHow many servings of vegetables and fruit do you eat daily?

    5 or more3–421Rarely any

20. NHow often do your meals include a clear protein source?

    Every mealMost mealsAbout halfOccasionallyRarely

21. NDo you avoid whole food groups (dairy, grains, animal foods, FODMAPs) without guidance?

    NeverRarelySometimesOftenDaily

22. NDo you take medications long term (acid blockers, metformin, diuretics, contraceptives)?

    NoneOneTwoThreeFour or more

Answer a few questions or add a lab value to see suggestions.

Overlap with your score pattern, not a diagnosis. Discuss with a clinician.

• TToxinsno datasym — · lab — · journal — → 0
• OOxidative Stressno datasym — · lab — · journal — → 0
• BHormonal Balanceno datasym — · lab — · journal — → 0
• IInflammation & Infectionno datasym — · lab — · journal — → 0
• NNutritionno datasym — · lab — · journal — → 0

Symptom score = average of your answers in that domain (0–4 scale, shown as 0–100). Lab score = 0.6 × the most out-of-range marker + 0.4 × the average of that domain's markers, where each marker is graded 0–100 against published clinical cutoffs. When both exist, the domain score = 60% symptoms + 40% labs. If you logged your journal in the last 14 days, 20% of the score comes from it: daily symptoms (I, O), sleep under 7 hours (O, B), low energy (N, O) and low mood (B).

• · Chest pain or pressure
• · Face, arm or speech change (stroke signs)
• · Severe breathlessness
• · Throat swelling or anaphylaxis
• · Thoughts of suicide or self-harm
• · Signs of sepsis: confusion with fever and fast breathing

In the US, call 911 for emergencies, or call or text 988 for a mental-health crisis.

Create a free account to save scores, track changes over time and share them with your doctor.