In general, how would you rate your health?
- Pretty bad
- Incredible
- It’s okay
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Which one of the following would best describe your mood?
- Worn out
- Happy
- Overwhelmed
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Do you like to go jogging?
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Which food group should have the most servings on a person’s plate?
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How sociable are you?
- I rarely socialize
- Once or twice a week
- I socialize all the time
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Which of the following phrases best describes you?
- Gym rat
- Health nut
- Couch potato
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What do you have the most of in your refrigerator?
- Fruits and vegetables
- Soda
- Meat
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How often do you diet?
- All the time
- After the holidays
- Not often
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How often do you meditate?
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Your job is one of the following:
- A retail job where I stand a lot
- A desk job where I sit most of the day
- I vary between standing and sitting
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Do you floss?
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How often do you spend time outdoors?
- I spend time outside on the weekends
- As often as I can
- I prefer staying indoors
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Do you own pets?
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Do you experience insomnia?
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How often do you eat fried food?
- At least twice a week
- Once a month
- Rarely
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What’s the biggest and most important meal of the day?
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How often do you drink coffee?
- 1-2 cups a day
- I’m a coffee addict
- Never
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Is mental health equally as important as physical health?
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Do you go to your doctor for a yearly physical?
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How often do you make a homecooked meal?
- All the time
- 3-4 times a week
- Never
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Do you use sunscreen when you go outside?
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How many hours of sleep do you get each night?
- 3-4 hours
- 5-6 hours
- 8 hours
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How often do you read the ingredient list on a product before buying it?
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How often do you feel stressed?
- It comes and goes
- All the time
- Not at all
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Do you take any prescription medicine?
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What is your opinion on veganism?
- It’s the only way to go
- It’s a choice
- It’s unhealthy
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How strongly do you agree with the saying: “You are what you eat?"
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When was the last time you got sick?
- Last year
- Last month
- I haven’t been sick in a long time
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How often do you work out?
- 1-2 days a week
- 3-5 days a week
- Never
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Do you use the microwave to heat up your food?
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Do you consume meat products?
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Do you buy organic meats and produce on a regular basis?
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What’s the first drink you reach for when you’re thirsty?
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What is the first thing you do when you get a fever and a runny nose?
- Grab some over the counter cold medicine
- Ignore the symptoms
- Drink lots of fluids
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How often do you drink a glass of milk?
- Every day
- Never
- Sometimes
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How many alcoholic drinks do you consume in a week?
- I lost count
- I don’t drink
- 1 to 2 drinks
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Do you smoke?
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When was the last time you ate fast food?
- Several weeks ago
- Yesterday
- Today
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How often do your muscles ache?
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How often do you get dizzy throughout the day?
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How many push-ups are you able to do in a minute?
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Can you hold a plank position for about a minute or more?
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Do you walk a lot every day?
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Are you able to touch your toes?
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Are you able to balance on one foot for more than 10 seconds?
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How often do you lift weights?
- Sometimes
- All the time
- Never
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Which type of fat do you often use while cooking?
- Butter
- Olive oil
- Canola oil
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Do you take vitamins?
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What do you put in your coffee?
- Milk and sugar
- Sugar
- Milk
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Do you add a lot of salt to your meals?