Male Questionnaire
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FOOD PREFERENCES

Q682

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

Q683

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

Q684

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

Q685

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

Q686

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

Q687

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

Q688

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

Q689

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

Q690

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

Q691

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

Q692

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)

Q693

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

Q694

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

Q695

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

Q696

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

Q697

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

Q698

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

Q699

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

Q700

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

Q701

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

Q702

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

Q703

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

Q704

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

Q705

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

Q706

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

Q707

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

Q708

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

Q709

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

Q710

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

Q711

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

Q712

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

Q713

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

SYMPTOMS: AGING

Q714

Do you have 'age spots' on your skin? Also known as 'liver spots', these are flat brown areas of skin, similar to freckles but larger.
  • No / don't know
  • One or two
  • Fewer than 10
  • 10 or more, but no increase during recent years
  • 10 or more and increasing

Q715

How elastic is your skin? Pinch a large section of skin on the back of your hand, holding firmly for 5 seconds. Release and count the number of seconds for the pinched skin to return to its normal (totally flat) appearance.
  • No / don't know
  • 0-2 seconds (very elastic)
  • 3-4 seconds
  • 5-8 seconds
  • Over 8 seconds (very inelastic)

Q716

How good is your balance? Stand on a hard surface with feet together. Close your eyes and lift your dominant foot about six inches (15cm). How long can you stand on your other foot without falling or opening your eyes? Try to do this 3 times and average.
  • I can't do this test / I am injured / don't know
  • Under 4 seconds (poor balance)
  • 4-9 seconds
  • 10-25 seconds
  • Over 25 seconds (very good balance)

Q717

Compared to other people of your age, how wrinkled is your skin?
  • About average / don't know
  • I have fewer wrinkles than most
  • I probably have more wrinkles than average
  • I definitely have more wrinkles than others my age

Q718

Does your overall health seem to be declining as you age?
  • No more than normal / don't know
  • No, not at all
  • Slightly - minor issues are turning up
  • Moderately - I am definitely having more problems
  • Seriously - my health is declining at a rapid rate

Q719

Do you have an overall loss of interest or pleasure in activities that you once enjoyed, due to depression or unknown reasons? If you are still interested but can't enjoy these activities due to fatigue, poor health, lack of time, or stress, answer "No".
  • Don't know / I never had many interests
  • No
  • Slight loss of interest
  • Moderate loss of interest
  • Complete or almost complete loss of interest

SUPPLEMENT, MEDICATION AND DRUG USE

Q720

Do you use multiple vitamin supplements? Only include broad-spectrum preparations, not individual nutrients or specialty combinations such as B-vitamins. "One-a-Day" types are usually low potency; high potency products involve taking several pills a day.
  • 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

Q721

Have you used any multiple mineral 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

Q722

How often do you use aspirin?
  • Don't know
  • Never / less that once a year
  • Occasionally / only when I need it
  • Regularly - several times a month
  • Often - daily or almost daily

Q723

If you take aspirin for pain relief, does it work for you?
  • Not applicable / don't know
  • No
  • Somewhat
  • Definitely

Q724

Have you ever used steroids, in the form of eye drops, by mouth, injections or creams?
  • Don't know
  • No, definitely not
  • Minor - used for less than 2 weeks
  • Moderate - used for up to 3 months
  • Major - used for more than 3 months

Q725

Have you taken other dietary or nutritional supplements within the past year? These include vitamins, minerals, nutraceuticals and others (except hormones) generally found in a health food store, but not always.
  • No / don't know
  • Yes*
* more questions will be asked later

Q726

Have you used antacids or drugs to prevent acid reflux during the past 2 years?
  • Don't know
  • No
  • Yes, but not currently using*
  • Yes, currently using*
* more questions will be asked later

Q727

Have you used antibiotics or antiviral/antifungal/antiparasitic medications within the past 5 years?
  • Don't know
  • No
  • Yes*
* more questions will be asked later

Q728

Have you used tranquilizers, sedatives or psychotropic (perception, emotion or behavior-altering) prescription drugs within the past 2 years? These are commonly prescribed for conditions such as Anxiety, Depression, Mania, OCD, etc.
  • Don't know
  • No
  • Yes*
* more questions will be asked later

Q729

Have you used any hormones or hormone-altering drugs? Examples include birth control pills, estrogens, progestins/progesterone, testosterone, cortisol/hydrocortisone, Glucophage, melatonin, thyroid hormones.
  • Don't know
  • No
  • Yes*
* more questions will be asked later

Q730

Have you used cholesterol-lowering drugs?
  • No / don't know
  • Short-term use in the past only
  • Long-term use in the past only
  • Currently using for 6 months or less
  • Currently using for over 6 months

Q731

Have you used diuretics?
  • Never / don't know
  • Minor use in the past only
  • Significant use in the past only
  • Currently using for up to 6 months
  • Currently using for more than 6 months

Q732

Have you used medications to lower your blood pressure?
  • No / Don't know
  • In the past only
  • Currently using, blood pressure easily controlled
  • Currently using, blood pressure hard to control
  • Currently using, blood pressure not under control

Q733

Do you use any form of laxative, more often than about once per month? This includes stimulant laxatives, bulk laxatives, osmotic laxatives, fecal softeners, fecal lubricants and enemas.
  • Don't know
  • No
  • Yes*
* more questions will be asked later

Q734

If you have ever tried coffee enemas, did they provide a noticeable benefit in energy or mental clarity?
  • I haven't tried one / don't know
  • There was no discernable benefit
  • Somewhat
  • Sometimes without doubt
  • Yes, there is always a very pronounced benefit

Q735

Have you been through a heavy metal detoxification program involving metal chelators such as DMPS, DMSA, or EDTA?
  • Don't know
  • No
  • Yes, for a short period of 1 or 2 months
  • Yes, for a period of 3 to 4 months
  • Yes, lasting a total of 5 months or longer

Q736

During the past year, have you used any over-the-counter or prescription pain medications other than aspirin?
  • Don't know
  • No
  • Yes*
* more questions will be asked later

Q737

During the past year, have you used any over-the-counter or prescription anti-inflammatory drugs other than aspirin?
  • Don't know
  • No
  • Yes*
* more questions will be asked later

Q738

Have you ever used recreational ("illegal") drugs? Include those that were used for medicinal purposes.
  • No / I would prefer not to say / don't know
  • Yes*
* more questions will be asked later

Q739

Have you taken any other prescription or over-the-counter medications that we have not covered so far? Examples include stimulants, blood thinners, decongestants, anti-nausea drugs, etc.
  • Don't know
  • No
  • Yes*
* more questions will be asked later