Total Health Questionnaire

1)Do you drink 8-10 glasses (over 64 ounces) of water and non-alcoholic/non-caffeinated beverages a day?
YES
NO
SOMETIMES


2)Do you drink caffeinated beverages such as coffee, tea, or soda, or take caffeinated supplements such as diet pills or artificial stimulants?
YES
NO
SOMETIMES


3)Do you drink any carbonated beverages including carbonated water daily?
YES
NO
SOMETIMES


4)Do you consume foods with refined (white) flour, found in such foods as breads, pizza dough, cereals, pastas, pastries, etc?
YES
NO
SOMETIMES


5)Do you drink alcohol?
YES
NO
SOMETIMES


6)Do you consume foods containing hydrogenated or partially hydrogenated oils?
YES
NO
SOMETIMES


7)Do you consume fried foods?
YES
NO
SOMETIMES


8)Do you use real butter instead of margarine?
YES
NO
SOMETIMES


9)Do you incorporate at least 40% of your total food intake in non-cooked/raw foods (fruits, vegetables, nuts, seeds, and sprouts)?
YES
NO
SOMETIMES


10)Do you use sources of refined sugar such as sucrose (powdered sugar), high fructose corn syrup, or consume candy daily?
YES
NO
SOMETIMES