Questionnaire: How Toxic is your lifestyle?

How Toxic Is Your Lifestyle?

– Remember to be truthful with your answers to receive accurate results.

DIETARY FACTORS

1) How frequently do you eat junk foods?

Often (4) Once a day (3) Few Times/Week (2) Once a week (1) Never (-2)

2) How much liquid (water only) do you drink daily?

Never (3) One per day (2) 4 glasses/day (1) 8 glasses/day (0) 10 glasses/day (-2)

3) How much processed food (sugar, white flour, canned or boxed foods, etc.

3 times/week (4) Once/day (3) Few times/week (2) Never (-2)

4) How much alcohol do you consume per week?

8+/week (5) 6-8/week (4) 4-6/week (3) 3-4/week (2) Never (0)

5) How often do you take essential oils (fish oils, flax seed oil or cod liver oil)

Never (4) Once/week (3) Once/day (2) 2x/day (0)

6) How many servings of fruits or vegetables do you consume?

1 per month (4) 1 per week (3) 1 per day (2) 3 per day (0) 5+ per day (-2)

7) How often do you consume 100% whole grains? (oats, wheat, pasta, breads, etc)

Never (3) Once a week (2) Few times/week (1) Multiple times/week (-2)

Dietary Choice Total Score = ___________

SUPPLEMENT FACTORS

1) Do you take a natural form multivitamin?

Never (2) Once a week (1) Few times/week (0) Daily per week (-1)

2) Do you take green powders or antioxidants supplements?

Never (3) Once/week (2) Few times/week (0) Daily (-1)

Supplement Factor Score = _________

LIFESTYLE FACTORS

1) Do much do you exercise? (30 or more minutes of continuous weight bearing activities)

Never (4) Once a week (3) 3 times/week (-2) 4 – 5times/week (-3)

2) Is your exercise duration at least ½ hour/day – 3 times a week

Most times (0) 50% of the time (2) Almost Never (4)

3) Do you have get enough sleep?

Almost Never (3) Sometimes (2) Usually (-1) Always (-2)

4) How often do you have normal bowel movements?

Once a week (4) Every four days (3) Every two day (2) Daily (0) Twice/day (-2)

Lifestyle Factors Score = ___________

ENVIRONMENTAL FACTORS

1) How much exposure to toxins do you have in the workplace? (paint, solvents, industrial cleaners, harsh chemicals, etc.)

Most of work time (4) Half of work time (2) Almost Never (0)

2) How much exposure do you have to airborne particles? (Example: Dust, carpet fibre, pollen, etc.)

Most of the time (4) 50% of the time (3) Almost Never (0)

3) At work or at home, how often are confronted with computers, television, live cameras, electrical wires)

8 hours/day (4) 5 hours/day (3) 3 hours/hours (2) Never (0)

4) How often are you exposed to cigarette smoke (either direct or second hand)?

Most of the day (4) A few times/day (3) A few times/week (2) Never (0)

Environmental Factor Score = ____________

MEDICAL FACTORS

1) Is there a history of disease in your family? (cancer, diabetes, heart disease, high cholesterol/blood press, arthritis, etc.)

Two or more (1) One (0) None (-1)

2) Do you have any major illness or disease?

2 or more (3) One (2) None (1)

3) How frequently do you experience headaches, colds, flu’s, sore throat, muscle aches, indigestion or other minor illnesses?

Once a day (3) Once a week (2) Once a month (0) Never (-1)

2) Have you ever had mercury or other metal fillings?

3 or more fillings (3) 2 fillings (2) 1 filling (1) Never (0)

Medical Factor Score = __________

STRESS FACTORS

1) Do you use recreational/pharmaceutical drugs?

Twice daily (4) Once a day (3) Once a week (2) Once a Month (1) Never (0)

2) Is your workplace a stressful environment?

Never (0) Very little (2) Some of the week (3) Most of the week (4) Always (5)

3) Do you experience stress at home?

Very High (5) High (4) Moderate (3) Slight (2) Almost none (1)

Stress Factor Score = __________

CONCLUSION

Add your factor scores from all sections together to calculate your total score:

Dietary Factors ____________

Supplemental Factors ____________

Lifestyle Factors ____________

Environmental Factors ____________

Medical Factors ____________

Stress factors ____________

How does your toxicity score reflect on your overall health?

0 – (-) 20 points – Your health is excellent. You’re making choices that contribute to continued health and your steely focus is maintaining healthy choices in lifestyle, food, and exercise and stress management. Congratulations in maintaining your health.

1 – 26 points – Your health is good. But don’t get complacent, thinking you’ve reached your goal once and for all. Good health, once achieved, must be maintained. Remember what you’ve done and try for better. Sometimes exploring different methods and approaches to your health are helpful. Being close to excellent health is just around the corner.

26-57 points – Your health is average. You’re in a category which most people fit in today, having moderate risks of health complications in the future. You may lack energy and easily catch illnesses such as colds and flu’s. Find out what foods improve blood alkalinity and use herbal cleansers, as well as green super foods to detoxify. The occasional fast and colon cleanse would greatly benefit you as well. Educate yourself and keep working on your situation.

57-87 points – You are in poor health. Your risk of developing a degenerative disease is high. The next few years may see major health complications come up due to overall blood acidity. Make some drastic changes to your lifestyle, food choices and stress management. You need to aggressively pursue the health that evades you, by detoxifying and making changes NOW. Don’t let a fast paced life get ahead of what is more important. Chase optimum health, vitality and quality of life –- it’s there for the taking.

Analysis
Your calculated total is a reflection of your health and the lifestyle factors that can affect your health. Your main concerns regarding body toxicity should come from diet, lifestyle and exercise. Even exercise plays an important role in the elimination of toxins and waste through sweat.

Eat a proper, wholesome and alkaline diet, supplementing with essential fatty acids and other whole food supplements that help to balance what may be missing in foods today. (Mayfair cottage has several therapists that will be able to assist you with this. Especially our Naturopath and Live blood analyst.)

Avoid those lifestyle factors that add weight to your overall toxic factors. Smoking, chemicals, air pollution, etc. are to be avoided as much as possible to avoid impairing the body’s function and overall health. Although this may sound straight forward, many people fail to heed this warning and greatly increase their chance of contracting health problems. 2013 could even be your year to quit smoking. Our in house Acupuncturist as well as our inhouse Life coaching modalities can assist you with this.

Use liquid herbal cleansers and detoxifiers to eliminate toxins. These tend to help stimulate the liver and ensure removal of toxins through the various elimination pathways, as well as removing toxins at the cellular level. Our Integrity Wellbeing Health shop will be able to point you to various credible, and effective products which improve digestion, repair free radical damage, and support the immune system. Our Ozone therapy has also proven great results in assisting with this process.

Use these points to increase optimal energy, vitality and youthfulness throughout the remainder of your life.