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Health Status Questionnaire

Instructions

Step 1: Complete all 30 questions as accurately and carefully, as possible. Be totally honest with yourself and your answers. You can either use the Print this Page link below to print the questionnaire on your local printer right from your browser, or just keep a tally of your true and false answers using a pencil and paper as you scroll down through each question.

Printer icon   Print this Page

Step 2: After you complete the questionnaire, determine your score by adding up all of your true and false answers. This is the score you need to determine your actual health status on the home page.

Step 3: Click the link at the bottom of the questionnaire to return to step 2 on the home page, where you can find out your actual health status.


Step 1:  Fill out the Questionnaire

Q1. Are you currently overweight? Overweight is defined as being 10% or more above your set point weight, which was your weight when you were 18 years of age. Obesity is defined as being more than 30% above your set point weight.

True  ______     False   ______                  

Q2. You do not follow the natural, whole foods way of eating, each and every day? Natural, whole foods are live and nutrient-dense with most of their vitamins, minerals, enzymes, and antioxidants still intact. Most of these foods have no labels on them. 

True  ______     False   ______

Q3. Insteadyou follow an unnatural, refined food way of eating, nearly every day? Most processed, prepared, packaged foods are dead, nutrient-deficient, and loaded with artificial additives. In addition, processed foods contain little or no vitamins, minerals, enzymes, and antioxidants. In essence, the life and synergy have been sucked out of them.

True  ______     False   ______

Q4. You do not prepare all of your meals at home on a daily basis? Yes, brown bagging it is still used by many people who bring a healthy, nutrient-dense lunch with them to work each day.

True  ______     False   ______

Q5. You eat more cooked food than raw food each day?

True  ______     False   ______

Q6. You do not have a good bowel movement in the morning, each and every day, seven days a week? It should be smooth and satisfying with little or no effort on your part.

True  ______     False   ______

Q7. Do you currently have one or more problems with your digestion and elimination after some, or all meals? This can manifest as indigestion, stomach pain, heartburn, bloating, belching, gas, constipation, diarrhea, and/or abdominal discomfort? If so, you may have an imbalanced gut microbiome and/or a gut wall that is leaky, along with other digestive issues.   

True  ______     False   ______

Q8. Do you drink less than 8 X 8 fluid ounces of purified water, and/or equivalent fluids made with pure water, each and every day? Note that fresh fruits and raw vegetables can contribute up to 2 X 8 fluid ounces a day.  However, drinks like tap water, bottled water, coffee, alcohol, regular soda pop, diet soda pop, prepared fruit juices, and energy drinks do not count.    

True  ______     False   ______

Q9. Do you often get headaches and/or migraines? 

True  ______     False   ______

Q10. You do not get 7 to 8 hours of deep, continuous, restorative sleep, each and every night, including weekends?  

True  ______     False   ______

Q11. Do you have difficulty falling and staying asleep? "I think I am an insomniac."  

True  ______     False   ______

Q12. Is your stress and/or anxiety level often high and continuous throughout the day?  

True  ______     False   ______

Q13. In addition, you do not know how to reduce the stress that is in your body, so it can become chronic and prolonged, at times?  

True  ______     False   ______

Q14. Do you sit at a desk at an office for up to 8 hours a day, 5 days a week?  

True  ______     False   ______

Q15. Do you sit in a car, bus, or train and commute to and from work each day, for a total of 1 hour or more?  

True  ______     False   ______

Q16. Do you sit and watch television most evenings, for 2 to 3 hours or more?  

True  ______     False   ______

Q17. Are you currently sedentary and/or do not participate in a structured, exercise program on a regular basis or at least 3 days of the week? Sorry, walking the dog doesn't count! 

True  ______     False   ______

Q18. You rarely spend time in nature and/or do not get much meaningful movement, direct sunshine, or fresh air in the outdoors? Sorry, a walk in a city park doesn't count here. Outdoor activities include hiking on nature trails, trekking in the forest, swimming in a pristine lake, canoeing on a river, snowshoeing in the woods, cross-country skiing, and/or ice skating on an outdoor rink.    

True  ______     False   ______

Q19. Do you suffer with chronic, systemic inflammation, day-after-day, which is sometimes referred to as Chronic Inflammatory Response Syndrome or CIRS? An inflamed body over time can result in chronic pain, irritation, swelling, achiness, weakness, and tissue damage in one or more spots or in various regions of the body.

True  ______     False   ______

Q20. If so, since chronic, systemic inflammation is the major, underlying cause of many, if not most of the degenerative diseases of our modern world, and is triggered by too many toxic irritants and/or stealth infections embedded in the cells, tissues, and organs of the body, do you think it is time you took the necessary steps to reduce the pain, congestion, and damage they are doing inside your body?                                       

True  ______      False  ______

Q21. Are you currently taking one or more prescribed drugs and/or over-the-counter medications? If so, these are likely contributing to your toxin load.

True ______ False ______

Q22. Do you currently eat a lot of processed foods that contain gluten-containing grains, artificial additives, genetically-modified organisms, and/or pesticide residues? The artificial additives are written in small, italic letters at the bottom of the label. If so, all of the above contribute in a big way to your body burden of toxicants.

True ______ False ______

Q23. Do you currently drink municipal tap water, bottled water in plastic containers, regular coffee, alcoholic beverages, soda pop, diet soda pop, or prepared fruit, sports, and energy drinks? If so, the fluids you are drinking are also contributing to your toxin load.

True ______ False ______

Q24. Do you currently live in an urban area like a city or suburb and within 100 metres of a highway, or a major thoroughfare? If so, ground level pollutants can be contributing to your body burden of toxicants via the air that you are breathing.

True ______ False ______

Q25. Do you currently use a lot of commercial cosmetic and personal care products that are of a non-organic origin? If so, up to 60% of the lotions and potions that are slathered or sprayed on your body are absorbed and contribute to your toxin load because the pores in your skin are miniature pipelines that lead to your bloodstream.

True ______ False ______

Q26. Do you think you have one or more addictions to and/or cravings for refined sugar, fast carbohydrates, white flour pastries, processed grains, table salt, caffeine, alcohol, prescribed, or over-the-counter drugs?

True ______ False ______

Q27. Do you currently have an autoimmune disorder? This could include rheumatoid arthritis, multiple sclerosis, Hashimoto's thyroiditis, vasculitis, or scleroderma, to name just a few. The complete list is now very long.

True ______ False ______

Q28. Do you get repeated colds, flus, sinus infections, stuffy nose, and/or often get sick throughout any given year? If so, your immune system is likely weak, imbalanced, and/or dysfunctional.    

True  ______     False   ______

Q29. Do you often have low energy, lack stamina, and feel fatigued or sluggish a lot of the time? If so, the energy production system in your cells may need a major overhaul.  

True  ______     False   ______

Q30. Overall, based on your answers to questions Q1 to Q29 above, do you feel that your health and fitness are quickly slipping away from you?

True ______ False ______


Step 2:  Now, Determine your Score

Add up all of your true and false answers from the questionnaire.

True Answers   _________        False Answers  ________


Step 3:  Next, Return to the Home Page


Go back to: Step 2: Finding Your Actual Health Status




Checkpoint ...

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