| I am fatigued on a regular basis.
|
|
| I get less than 8 hours of sleep every night.
|
|
| I don't exercis regularly, or I exercise no more than 15 hours each week.
|
|
| I am sensitive to perfume, smoke, chemicals, or fumes.
|
|
| I regularly experience deep muscle or joint pains.
|
|
| I am exposed to a significant level of environmental exposures (pollutants, chemicals, etc.) at home or at work.
|
|
| I smoke cigarettes or cigars ( or anything else).
|
|
| I am regularly exposed to second hand smoke.
|
|
| I drink more than 3 alcoholic beverages a week.
|
|
| I don't use sunblock, or I like to bake in the sun, or go to tanning booths.
|
|
| I take prescription, over the counter and / or recreational drugs.
|
|
| I would describe my life as very stressful.
|
|
| I eat fried foods, margarine, or a lot of animal fats (meat, cheese, etc.).
|
|
| I eat white flour and sugar more than twice a week.
|
|
| I eat less than 5 servings of deeply colored vegetables and fruits aday.
|
|
| I have chronic colds and infections (cold sores, canker sores, etc.).
|
|
| I don't take an antioxidant containing multivitamin.
|
|
| I am overweight (Body Mass Index > 25).
|
|
| I have heart disease or diabetes.
|
|
| I have arthritis or allergies.
|
|
Your Name:
Your Email:
|