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Step 1 of 10
What percentage of foods that you consume come from a package or are fast foods?
Less than 10 %
25% or more of my food is packaged or fast food
How many times a day do you eat a healthy meal/snack (healthy foods are foods such as fresh fruit and vegetables, nuts, whole grains and lean protein)?
5 or more
How many 8oz glasses of water do you drink each day?
8 or more glasses each day
4-7 glasses a day
0-3 glasses a day
How often do you have a bowel movement?
2-4 times a day
Once a day
I do not have a bowel movement everyday
What statement best describes your energy through the day?
I wake up exhausted and have very little energy throughout the day
I wake up feeling okay but get drowsy through the afternoon
I wake up feeling rested and have considerable and consistent energy throughout the day
What statement best describes your quality of sleep?
I go to bed and fall asleep within 5-10 minutes and I do not wake up during the night.
I have a hard time falling asleep, but never wake through the night. OR I fall asleep well, but wake up periodically through the night.
I have a difficult time falling asleep and wake periodically during the night
Do you take a quality multi vitamin on a regular basis?
No I do not take a multi vitamin on a regular basis
Yes I take one everyday
I take a multi vitamin when I remember
Do you ever purposely purchase locally grown foods or organically grown foods?
No, this not a priority
Yes, I always make the effort to buy foods that are grown by local farmers or organic foods
I feel stressed (could be due to a combination of family, career, friends etc) on average:
Less than 25% of the time I feel stressed
Almost all the time
I feel stressed about 50% of the time
I work out or do physical activity of 30 minutes or more:
0-2 days a week
3-4 days a week
5-7 days a week
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