Test Your Health

Fast Food*
How often do you eat fast food?
Smoking*
How often do you smoke?
Caffeine*
How many times a day do you drink soda, alcohol, or caffeinated drinks?
Sugar*
How often do you eat food rich in refined sugar or corn syrup?
Oils*
How often do you eat foods made with refined oils (vegetable oil, shortening, margarine, lard)?
Dairy*
How often do you eat dairy products (milk, cheese, ice cream, etc.)? (not including plain yogurt or kefir)
Meat*
How often do you eat unprocessed fish/seafood, chicken/poultry, or beef?
Processed Meat*
How often do you eat processed meat (all pork, bacon, sausage, hot dogs, lunchmeats, etc.)?

Grains*
If you eat grains, how often are they whole grains?
Legumes*
How much do you eat, daily, of legumes (beans, lentils, etc.)?
Nuts & Seeds*
How often do you eat raw nuts or seeds? (roasted in oil does not count)
Vegetables*
How many daily servings of vegetables (including greens) do you eat? (serving = ½ cup cooked or 1 cup loose greens)
Any vegetables you eat over 8 as a daily average
RAW Plant Food*
How much of your diet is RAW plant food?
Fruit*
How many daily servings of fresh/frozen fruits do you eat? (canned fruits don’t count)
Sprouting*
How often do you eat sprouted, live nuts, seeds, grains, or legumes?

Water*
How much water do you drink daily?
Do you drink alkaline water daily?
How often do you exercise*
Do you exercise more than 30 mins., 5 days a week and some workouts are in your target heart rate zone
Extra Credit
- I eat raw, fermented foods like homemade sauerkraut, kefir, yogurt, etc. 3 times weekly or more
- I have little or no commercial yeast (in breads, etc.)
- I add powdered greens to your alkaline water daily
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