|
|
1
. |
How many glasses of purified water do you drink a day? |
|
|
|
|
2
. |
How many servings of vegetables and or salads do you eat a day?
|
|
|
|
|
3
. |
How many servings for fresh fruit do you eat a day?
|
|
|
|
|
4
. |
How often do you eat three meals and at least two snacks per day? |
|
|
|
|
5
. |
How often do you eat processed food? |
|
|
|
|
6
. |
How often do you eat fried, smoked or barbequed food? |
|
|
|
|
7
. |
How many alcoholic beverages do you drink? |
|
|
|
|
8
. |
How often do you consume essential fatty acids such as fish, flax seed or oil, hemp seed or oil or fish oil supplements? |
|
|
|
|
9
. |
The food I eat is generally
|
|
|
|
|
|
|
|
|
10
. |
How much weight do you need to lose? |
|
|
|
|
11
. |
How often do you do 30 minutes of weight-bearing exercises?
|
|
|
|
|
12
. |
How often do you do 30 minutes of aerobic exercise?
|
|
|
|
|
13
. |
How often do you participate in exercise that enhance flexibility ie. stretching, yoga, pilates etc.
|
|
|
|
|
|
|
|
|
14
. |
Do you take a good quality multivitamin-multimineral supplement? |
|
|
|
|
15
. |
Do you take any additional antioxidants such as Vit C, E, grape extract, CoQ10, selenium etc?
|
|
|
|
|
16
. |
Do you use herbal supplements?
|
|
|
|
|
|
|
|
|
17
. |
What level of stress do you feel you experience on an average day? |
|
|
|
|
18
. |
How often do you get 8 or more hours of sleep each night?
|
|
|
|
|
19
. |
How often do you experience love and joy in your life?
|
|
|
|
|
20
. |
Do you smoke or are you exposed to second hand smoke?
|
|
|
|
|
21
. |
Do you use recreational drugs?
|
|
|
|
|
|
|
|
|
22
. |
How often do you have a bowel movement? |
|
|
|
|
23
. |
How many immediate family members suffer from one or more of the following ailments: cancer, diabetes, heart disease, obesity, high cholesterol, high blood pressure?
|
|
|
|
|
24
. |
How many of the following conditions do you suffer from: cancer, diabetes, heart disease, obesity, high cholesterol, high blood pressure, depression? |
|
|
|
|
25
. |
How often are you exposed to heavy metals and or toxins from pesticides, herbicides, commercial household cleaners, lawn sprays, mercury in dental fillings etc.?
|
|
|
|
|
|
|
|