ASSESS YOUR TOXIC BURDEN

Complete this simple quiz to assess your toxic burden. Once completed you will receive a score to help you determine whether detoxification would be beneficial to your body and mind.

Directions
1. Answer all quiz questions.
2. Submit your answers to review your toxicity assessment.

1. How often do you exercise?
  Daily
3-5 times per week
0 -2 times per week
2. How many nights per week do you drink alcohol?
  None
1-2 times per week
3 or more times per week
3. How many nights per week do you eat out?
  None
1-2 times per week
3 or more times per week
4. How often do you have bowel movements?
  1 time per week
2-3 times per week
1-2 times daily
5. How many servings of fruits and veggies per day?
  3-5 per day
1-3 per day
0-1 per day
6. How much water do you drink per day? (include non-caffeinated beverages)
  8-10 glasses per day
4-7 glasses per day
Less than 4 glasses per day
7. How does your Belly lie?
  Lie flat with your pants
Rests a little over your pants
Hangs over your pants
8. How many massages do you do per year?
  Weekly
Monthly
Less than yearly
9. Do you live in the:
  Country
Suburbs
City
10. Household cleaners/Lotions/Shampoos - Do you choose: Organic, Paraben free, minimal chemicals, "green" formulas
  Always
Sometimes
Never
11. When is your last detox?
  Last season change (or sooner)
Within the last 2 years
Over 2 years ago
12. I feel congested/heavy/blocked in my mind and/or body...
  Never
Sometimes
Always
13. Do you feel "awake" first thing in the am?
  Always
Sometimes
Never
14. Do you have a lack of motivation to get going?
  Always
Sometimes
Never
15. Do you feel tired- When?
  Rarely
Sometimes, am or mid-afternoon
Always, all day
16. Have you lost your interest in eating, appetite, or ability to taste foods?
  No
Somewhat
Yes
   
  Your First Name
 
  Your Last Name
 
Your Email Address
 
   

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