Female Questionnaire
Page 7 of 9

You are on page 7 of 9
 
 
Report by The Analyst™
Click to see sample report
OUR SYSTEM DOES NOT RECOGNIZE YOU

Click here if you have already started the questionnaire and would like to continue.

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

DIET

These questions give us a rough idea of your diet.  Don't worry if you can't get these answers exactly right – simply answer to the best of your ability.

Q708

Roughly how often do you consume refined sugar? Include sugar-containing snacks (cookies, candy...), desserts (cakes, puddings...), or other servings of at least one tablespoon of sugar (for example in cereal, coffee...) Do not include soft drinks here.
  • Never / rarely / don't know
  • About once per week
  • About 2-3 times per week
  • Roughly daily or almost daily
  • More than once per day

Q709

Do you make a point of avoiding the artificial sweeteners Aspartame and Neotame? They are commonly found in low-calorie drinks and foods.
  • No / don't know
  • Sometimes
  • I generally try to avoid them
  • I try very hard to avoid them
  • I absolutely avoid them

Q710

Approximately how often do you consume tofu, soy milk, soybean curd or other soy-based products?
  • Never / don't know
  • Once per month or less
  • Once per week or less
  • A few times per week
  • At least daily

Q711

How often do you consume dairy (cheese/cream/milk-based) products?
  • Never / don't know
  • Once per week or less
  • 2-6 times per week
  • Some every day
  • A lot / more than once daily

Q712

Approximately how much calcium-fortified food do you consume? Common examples are orange juice, breakfast cereals, soy milk, milk and other dairy products. (Do not include calcium supplements/tablets here.)
  • Don't know / I don't keep track
  • None / rarely
  • A little / under one cup (250ml) per day
  • 1-3 cups (250-750ml) per day
  • A lot / at least three cups (750ml) each day

Q713

Estimate how often you consume iodine-containing foods. The most common dietary sources of iodine are seaweeds and iodized salt.
  • Don't know
  • Never / rarely / I don't make a point of it
  • A few times per week
  • Daily or almost daily

Q714

How often do you consume processed meats? Examples include hot dogs, sausages, bacon, jerky, smoked ham, pepperoni, salami, lunch meat, sandwich meats, or red meat in canned/frozen products.
  • Never / don't know
  • Once per week or less
  • 2-3 times per week
  • 4-7 times per week
  • A lot / more than once daily

Q715

How often do you consume fast food?
  • Never / don't know
  • Once per week or less
  • 2-3 times per week
  • 4-7 times per week
  • A lot / more than once daily

Q716

Aside from fast food, how often do you consume deep-fried foods?
  • Never / don't know
  • Once per week or less
  • 2-3 times per week
  • 4-7 times per week
  • A lot / more than once daily

Q717

Aside from fast food, roughly how often do you eat grilled or barbecued red meat or chicken?
  • Don't know
  • Never / no more than once per year
  • Once per month or less
  • 2-4 times per month
  • More than 4 times per month

Q718

On average, how many DAILY servings of fruits and vegetables do you eat? A serving is about the size of a tennis ball, or half a cup (125ml) for most fruits and vegetables. Include everything except potatoes and grains such as rice.
  • Don't know
  • None / under two
  • About 2 to 3
  • About 4 to 5
  • More than 5 servings per day

Q719

Roughly how many WEEKLY servings of LEGUMES (peas, beans, lentils, peanuts, soy etc.) do you eat? A serving is about the size of a tennis ball, or half a cup (125ml).
  • Don't know
  • None / under two
  • About 2 to 3
  • About 4 to 5
  • More than 5 servings per week

Q720

Approximately how much dark leafy green vegetable or broccoli do you eat? Examples include spinach, kale, collard greens. A serving is about the size of a tennis ball, or half a cup (125ml).
  • Don't know
  • None / less than one serving per week
  • Less than one serving per day
  • 1-3 servings per day
  • 3 or more servings per day

Q721

Hydrogenated oils / fats. How often, on average, do you consume them, not distinguishing good oil from bad? They are often found in margarines, cakes, biscuits, french fries, chips, and sweets for example.
  • Never
  • On rare occasions / I try very hard to avoid them
  • A few times per week
  • About once a day
  • More than once daily (average diet) / don't know

Q722

Roughly how much unheated flax or hemp oil, non-hydrogenated canola oil or fish oil you consume per week? A 'unit' can be: 1 tbsp flax oil, 3 tbsp flax seed, 3 tbsp hemp oil, 1/3 cup hemp seeds, 1/2 cup walnuts, 4 tbsp canola oil OR 1gm fish oil.
  • None / rarely / don't know
  • One unit per week
  • 2-3 units per week
  • 4-10 units per week
  • More than 10 units per week

Q723

How many tablespoons of safflower, sunflower, corn or cottonseed oil do you consume per week? NOTE: "All-purpose vegetable oil" is commonly a mixture of corn and cottonseed oil - look at the label.
  • None / rarely
  • 1-3 per week
  • 4-7 per week / don't know
  • 8-14 per week
  • Definitely more than 14 per week

Q724

How many servings of fish do you eat on average per month? A serving is about the size of a tennis ball, or half a cup (125ml).
  • None / rarely / don't know
  • One
  • Two
  • Three to four
  • Five or more

Q725

Do you eat refined white flour products, for example French, Italian or other white bread, pizza, bagels, pasta etc.?
  • Don't know
  • Never
  • No more than 3 times per week
  • 4-7 times per week
  • A lot / more than once daily

Q726

Salt consumption. How much added salt (salt that is not already in the food) and salty foods/snacks do you eat on average?
  • None
  • Very little, I try to avoid it
  • Average / don't know
  • Above average
  • A lot - I usually add salt and enjoy salted foods

Q727

Being honest with yourself, do you feel that the amount of calories you are consuming is...?
  • Definitely not enough calories
  • Probably not enough
  • About right / don't know
  • Probably too many
  • Definitely too many calories

Q728

How would you rate your overall fat / oil consumption from food and supplements?
  • Extremely low
  • Moderately low
  • Average / don't know
  • Moderately high
  • Very high

Q729

How high would you rate your overall consumption of eggs and egg-containing foods? Eggs are an ingredient of many foods such as mayonnaise, most cakes, many desserts, breads, other flour-based products.
  • None - I carefully avoid eggs and egg products
  • Lower than average - I usually avoid eggs
  • About average / don't know
  • High - I enjoy eggs most/every day

Q730

How often do you consume garlic?
  • Never / don't know
  • Once per month or less
  • Once per week or less
  • A few times per week
  • At least daily

FOOD PREFERENCES

Q731

Are you a picky eater? In other words, do you refuse to eat certain foods based on their taste, texture, smell, or how they look?
  • Don't know
  • No - I'll eat almost anything!
  • Slightly - there are a few foods I will not eat
  • Somewhat - there are many foods I will not eat
  • Definitely - I will eat only a short list of foods

Q732

Is your diet vegetarian or vegan? Vegetarians may eat eggs and/or dairy products, but no meat of any kind. Strict vegetarians (vegans) do not eat anything that comes from animals. Raw food vegans are vegans who eat most of their fruit/vegetables uncooked.
  • No
  • Part-time - on average at least one day per week
  • Vegetarian (eggs/dairy but no meat/fish/fowl)
  • Vegan (I eat no animal products at all)*
  • Raw food vegan (at least 70% raw fruit/vegetables)*
* more questions will be asked later

Q733

Do you generally feel like eating breakfast?
  • Always / don't know
  • Usually
  • About half the time
  • Usually not
  • Never

Q734

Do you crave (have a strong desire for) prepared wheat products such as bread or pasta?
  • Don't know
  • No
  • Yes, but I never eat wheat products
  • Yes, and I eat wheat products occasionally
  • Yes, and I eat wheat products often

Q735

Do you have a strong desire for either coffee or sugar in the afternoon?
  • No / don't know
  • Yes, moderately
  • Yes, very much

Q736

Do you crave greasy or fatty foods?
  • No / don't know
  • Yes, moderately
  • Yes, very much

Q737

How much do you enjoy salty foods?
  • I dislike salty food / food often tastes too salty
  • I avoid salt when I can
  • It makes no difference / don't know
  • I often like some extra salt
  • I really love/crave salt

Q738

Do you have a general craving for sugar or sweets, other than chocolate?
  • No / don't know
  • Yes, moderately
  • Yes, very much

Q739

Do you crave chocolate?
  • Don't know
  • No
  • Yes, moderately
  • Yes, very much

Q740

Are there any foods that you eat often and would have great difficulty giving up? Examples include meat, cheese, bread products, chocolate.
  • No / I could give up anything / don't know
  • Probably
  • Yes, definitely

LIQUID INTAKE

Q741

What is your alcohol tolerance?
  • Very easily intoxicated (a couple of sips does it)
  • I am easily intoxicated
  • Average / I don't drink / don't know
  • I am quite tolerant
  • Very tolerant (I can drink all night)

Q742

Have you ever consumed alcohol regularly?
  • Don't know
  • No, none at all
  • Never more than one drink per month
  • Yes*
* more questions will be asked later

Q743

Do you drink any type of coffee or tea?
  • Don't know
  • No / less than once per month
  • Yes*
* more questions will be asked later

Q744

Do you consume soft drinks? One drink is equivalent to a standard 330ml / 12oz can.
  • Never / rarely / don't know
  • One drink a week or less*
  • 2-6 drinks each week*
  • 1-4 drinks each day*
  • Over 4 drinks each day*
* more questions will be asked later

Q745

On average, how much fruit or vegetable juice do you consume per day? One cup is 8 fluid ounces, or about 250ml.
  • None / rarely / don't know
  • 1 cup
  • 2 cups (500ml - half a standard carton)
  • 3 cups (750ml)
  • 4 cups (1 liter - a standard carton) or more

Q746

Approximately how much plain water do you drink on average per day? One cup is 8 fluid ounces, or about 250ml.
  • Don't know
  • One cup (250ml) or less
  • 2 cups (500ml)
  • 3 to 4 cups (750ml to 1 liter)
  • 5 cups (1.25 liters) or more

Q747

How is your level of thirst generally?
  • I am (almost) never thirsty
  • Rarely thirsty
  • Average / sometimes thirsty / don't know
  • Frequently thirsty
  • I am (almost) always thirsty

ENVIRONMENTAL EXPOSURE

Q748

Have you ever used tobacco products (cigarettes, cigars, chewing tobacco, etc.) on a regular basis?
  • Don't know
  • No
  • Yes*
* more questions will be asked later

Q749

During your lifetime, what has been your approximate exposure to air pollution? Include exhaust fumes and smoke from fires or heavy industry, but not tobacco smoke.
  • Little or no exposure e.g. grew up in countryside
  • Less than average e.g. lived in a small town
  • Average exposure / don't know
  • More than average e.g. lived in a city
  • High exposure - lived or worked in dense pollution

Q750

Do you use chlorinated water for drinking or bathing? Public water supplies ("tap water") are chlorinated.
  • Don't know
  • No / I filter it
  • Sometimes but not often
  • Yes, for bathing but not for drinking
  • Yes, I drink it regularly

Q751

Have you ever been diagnosed with mercury toxicity or poisoning?
  • No / don't know
  • Tests have confirmed there is no problem
  • Yes, mild
  • Yes, moderate
  • Yes, severe

Q752

Have you ever been diagnosed with heavy metal toxicity other than mercury?
  • No / don't know
  • Tests have confirmed there is no problem
  • Yes, Mild
  • Yes, moderate
  • Yes, severe

Q753

Have you been exposed to other substances generally known to be hazardous? Examples include paints, glues, fuels, herbicides, diesel exhaust, smoke-filled rooms, other fumes, household mold or mildew, dust from pre-1970 buildings, treated lumber sawdust.
  • Don't know
  • No / rarely / low exposure
  • About average / occasionally / light exposure
  • Yes / regularly / significant exposure*
* more questions will be asked later

Q754

Do you suffer allergic or adverse reactions (skin/respiratory/digestive/headache etc.) to certain substances/chemicals/foods? For example, cigarette smoke, perfumes, cleaning agents, glues, paints, medicines, dust, pollen, mold, gluten or other foods.
  • No / don't know
  • Very slightly, hardly worth mentioning
  • Yes / probably*
* more questions will be asked later

Q755

Compared to other people with similar skin color, how quickly do you sunburn?
  • I sunburn very quickly, much faster than most
  • I am sometimes more easily sunburned than others
  • About average / don't know
  • I don't easily get sunburned compared to others
  • I burn much slower than most people my skin color

Q756

During your lifetime, how much have you been exposed to the sun?
  • Don't know
  • Limited exposure to sun, rarely enough to sunburn
  • Moderate exposure / occasional light sunburn
  • Significant exposure / many light sunburns
  • Extreme exposure / many severe sunburns

Q757

Roughly how much sun exposure have you had during the past 6 months?
  • Very little/rarely outdoors/always fully covered
  • A little skin exposure for under 1 hour per week
  • Arms/legs in full sun for at least 1 hour per week
  • Much of body in full sun at least 2 hours per week
  • Whole body in full sun at least 4 hours per week

Q758

Do you get a rash from the sun? This is not the same as a sunburn. Redness may appear after only minutes, sometimes accompanied by swelling, a burning sensation, itchy blisters, small or large raised/bumpy areas, pain, fever or nausea.
  • Don't know
  • Never
  • Occasionally
  • Regularly on face/cheeks only
  • Regularly anywhere besides the cheeks

Q759

How does hot weather affect you in general?
  • I can't take the heat well
  • It makes little difference / I'm fine / don't know
  • I enjoy hot weather

Q760

How does cold weather affect you in general?
  • I can't take the cold well
  • It makes little difference / I'm fine / don't know
  • I enjoy cold weather, find it invigorating

Q761

How does cool, damp weather affect you in general?
  • Don't know
  • It makes no difference / I'm fine with it
  • It makes me feel a little worse
  • It makes me feel a lot worse / I can't stand it

Q762

Does cold or cool, damp weather cause any physical symptoms? For example, increased joint/muscle pain/stiffness/weakness, spasms, or breathing problems.
  • No / don't know
  • Yes, cold or cool, damp weather causes problems*
* more questions will be asked later