1. How much do you weigh? |
|
2. Do you drink at least one caffeinated beverage daily? |
YES
NO
|
3. Do you drink 10 or more alcoholic beverages per week? |
YES
NO
|
4. Do you exercise or work to the point of perspiring regularly? |
YES
NO
|
5. Are you trying to lose weight? |
YES
NO
|
6. Are you sick or taking medications? |
YES
NO
|
7. Are you pregnant? |
YES
NO
|
8. Will you be traveling by plane in the next 3-5 days? |
YES
NO
|
9. Do you smoke, are you regularly exposed to 2nd hand smoke or do you live/work in
a city with air quality problems? |
YES
NO
|
10. Do you have arthritis, minor back pains or indigestion? |
YES
NO
|
11. Do you take nutritional supplements? |
YES
NO
|
12. Do you have a high sugar diet? |
YES
NO
|