| | Yes | No | Non applicable | I don't know |
| 1. Do you eat more meals with poultry, lean meat, fish and plant (soy) proteins rather than steaks, roasts and other red meats? |
|
|
|
|
| 2. Do you eat a variety of colorful fruits and vegetables and do you eat at least seven servings a day of these? |
|
|
|
|
| 3. Do you consume primarily whole grains (100% whole wheat bread and pasta, brown rice) rather than regular pasta, white rice and white bread? |
|
|
|
|
| 4. Do you eat ocean-caught fish at least 3 times a week? |
|
|
|
|
| 5. Do you avoid the intake of fried foods, dressings, sauces, gravies, butter and margarine? |
|
|
|
|
| 6. Is your digestive system free of indigestion or irregularity? |
|
|
|
|
| 7. Do you get a minimum of 30 minutes of exercise 3-5 days a week? |
|
|
|
|
| 8. Do you maintain a stable and appropriate weight? |
|
|
|
|
| 9. Do you usually have time to prepare balanced meals, rather than take out or eating on the run? |
|
|
|
|
| 10. Do you stay away from soda and typical snack foods throughout the day and after dinner? |
|
|
|
|
| 11. Are you free of water retention and bloating? |
|
|
|
|
| 12. Do you have the energy and focus you need to meet your daily challenges? |
|
|
|
|
| 13. Do you drink at least 8 glasses of water a day? |
|
|
|
|
| 14. Are you getting your daily recommended allowance of Calcium? A) Men = 1,000mg. B) Women under 50 = 1,200mg. C) Women 50 and older = 1,500mg |
|
|
|
|
| 15. Are your blood pressure, triglycerides and cholesterol in the normal range? |
|
|
|
|
| 16. (Only for men) Are you free from problems associated with your prostate such as slow urination or waking up at night to urinate? |
|
|
|
|
| 17. (Only for women) Are you free from problems associated with your menstrual cycle/menopause such as mood changes, hot flashes or problems sleeping? |
|
|
|
|