How many grams of fat do you consume per day?
Check the one box that applies.
Ranges:
Check the one box that applies for each question.
How often do you consume soft drinks? This includes soda, energy drinks or any liquid that is not 100% derived from real juice and contains preservatives, artificial sweeteners or ingredients which are often labeled as "natural flavors."
How often do you consume pork, lamb or seafood not including wild salmon, trout or sardines)?
How often do you consume industrial food oils (vegetable, palm, canola, corn, safflower or soybean oils)? This most likely also includes anytime you have fried food.
How often do you consume the following:
How often do you consume the following in your beverages or foods?
Check the one box that applies to you right now.
How many medications have you ever been on? Do not include antibiotics in this section.
For each medication, indicate how many years you have been on it in total. This includes both past and present.
Medication #1
Medication #2
Medication #3
Medication #4
Medication #5
Medication #6
Medication #7
Medication #8
Medication #9
Medication #10
If you have been on more than 10 medications check off the box that best applies to you.
Check all the boxes that apply to you now.
How many silver fillings have you ever had? Include past and present ones.
Check off the following that are true:
How often do you consume foods or beverages from a can?
How often do you use any non-stick surface (besides ceramic) such as Teflon or aluminum cookware?
Tattoo ink is a source of heavy metals.
Check which most applies to you regarding the total surface area of tattoo covering your body.
Check each of the following boxes that apply for each category below:
Review your household cleaning products to check for toxic ingredients.
Check the boxes that apply to you for each question.
How often to you wear perfume or cologne?
How often to you burn candles?
Check off all of the following that apply to you:
Radiation is an unseen stress on your cells, tissues, organs, particularly your liver. When overloaded with dealing with the effects of all the various kinds of radiation you are routinely exposed to, your liver has a harder time focusing on keeping your blood clean and detoxification efforts, thus an increase in accumulation of unwanted substances occurs within it.
How many total of the following scans have you had in the past year? For example, if you have had 2 X-rays, 1 CT-scan and 1 mammogram that would equal 4.
How many airplane flights have you been on in the last year? Each one way flight, including all connections, equates to a single flight. For example, if you have been on 3 round trip flights where 2 of them had connections that equates to 6 flights total.
How many sunburns have you had in the past year?
How often do you use the microwave?
How often are you on a computer, laptop, iPad or phone? Total your combined time for all types of electronic devices. Phone time includes screen and talk time.
Most of us unknowlingly have an underlying chronic level of viruses and bacteria in our bodies which our immune systems are continually trying to manage. They can settle into your tissues, organs, glands and systems such as your lymphatic and nervous systems creating a variety of potential symptoms.
The degree to which pathogens will impact your health depend on what types (how aggressive they are), where they are located, to what degree of concentration they are and what other burdens your liver is contending with.
The following questions will help determine how much of an issue pathogens may be for you.
Check off all the follow that apply:
How many times have you been on antibiotics in your life?
Check off any of the following that you previously or currently have:
The following are foods that promote pathogens.
Check off how often you consume each of these pathogen supporting foods.
How often do you consume eggs?
How often do you consume dairy?
How often do you consume gluten?
How often do you consume corn?
How often do you consume Soy (except non- GMO)?
A certain amount of stress and adrenaline production is healthy and necessary to foster learning and development. However, our society has pushed our relationship with our adrenals to beyond healthy limits to where they are churning out way too much adrenaline which is corrosive to our tissues and organs, particularly our nervous system and liver.
How much caffeinated coffee and/or tea do you consume per day?
How much chocolate do you consume per day?
How much stress do you experience in your life?
Indicate if you do any of the following that promote significant adrenaline release.
Review the categories where you scored the highest to help provide direction on what your liver rescue priorities are.
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