Female Questionnaire
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This section asks about specific dietary and nutritional supplements that you may have taken within the past year.

Q859

Do you use blue-green algae supplements?
  • Don't know
  • None
  • Some / occasionally
  • Significant amounts

Q860

Aside from foods that are fortified with calcium, have you taken other calcium supplements?
  • None / don't know
  • Minor use in the past only
  • Significant use in the past only
  • Currently using low to moderate doses
  • Currently using large doses

Q861

Have you used copper supplements within the past year? If taking a multiple or other supplements, please check to see if copper is included in the ingredient list.
  • Don't know
  • Definitely none
  • In the past only, or less than 1mg per day
  • 1 to 3mg per day
  • More than 3mg per day

Q862

Do you take magnesium supplements?
  • Don't know
  • None
  • Some / occasionally
  • Significant amounts

Q863

Do you take folic acid supplements?
  • None / very little / don't know
  • Substantially in the past only
  • Some / occasionally
  • Routine use (100 to 400mcg per day)
  • Routine high dose use (over 400mcg per day)

Q864

Do you take iodine supplements? (Do not include iodized salt.)
  • Don't know
  • None
  • Some / occasionally
  • Significant amounts

Q865

Have you taken iron supplements?
  • None / don't know
  • Minor use in the past only
  • Significant use in the past only
  • Currently using low to moderate doses
  • Currently using large doses (over 50mg per day)

Q866

Do you take MSM (Methyl Sulfonyl Methane) as a dietary supplement?
  • Don't know
  • None
  • Some / occasionally
  • Significant amounts

Q867

Do you need hydrochloric acid (HCl) with meals?
  • No / don't know
  • 1 to 2 caps
  • 3 to 4 caps
  • 5 to 6 caps
  • 7 or more caps

Q868

Do you use digestive enzymes?
  • No / don't know
  • Yes, but it definitely does not help
  • It has helped in the past
  • Occasionally
  • Regularly

Q869

Do you use selenium supplements?
  • No / Don't know
  • A little / only what is in a multiple
  • Long term use of 50 to 100mcg daily
  • Long term use of at least 100mcg daily
  • Long term use of at least 150mcg daily

Q870

Do you use zinc supplements?
  • No / don't know
  • A little / only what is in a multiple
  • Long term use of 10 to 30mg daily
  • Long term use of 31 to 50mg daily
  • Long term use of over 50mg daily

Q871

Do you take Vitamin A supplements?
  • Don't know
  • No
  • Some / occasionally
  • Significant amounts

Q872

Do you take Vitamin B-complex supplements?
  • Don't know
  • No
  • Some / occasionally
  • Significant amounts

Q873

Do you use Vitamin B12 supplements that are taken by mouth?
  • Don't know
  • No
  • Some / occasionally
  • Significant amounts

Q874

Have you supplemented with Vitamin B12 by injection within the past 5 years?
  • No / not applicable / don't know
  • Less than 5 shots within that period
  • More than 5 shots within that period
  • Current injections but less than once per week
  • Current injections once per week or more

Q875

Do you take Vitamin B3 (Niacin) supplements?
  • Don't know
  • No
  • Some / occasionally
  • Significant amounts

Q876

Do you take Vitamin B6 (Pyridoxine) supplements? The active metabolite of B6 is P5P (pyridoxal-5-phosphate).
  • Don't know
  • No
  • Sometimes / occasional use
  • Regular use of up to 100mg or 10mg P5P.
  • Regular use of over 100mg or 10mg P5P

Q877

Do you take Vitamin C supplements?
  • Don't know
  • No
  • Some / occasionally
  • Significant amounts

Q878

Do you take Vitamin D supplements?
  • Don't know
  • No
  • Some / occasionally
  • Significant amounts

Q879

Do you take Vitamin E supplements?
  • Don't know
  • No
  • Some / occasionally
  • Significant amounts
Report by The Analyst™
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PREVIEW: THIS PAGE WILL NOT BE SAVED
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  • consent to collect data
  • name, age, and gender

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Click here to start the questionnaire and receive your own detailed health analysis.

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