1. Do you use plastic containers to store food or drinking water
Yes
No
2. Do you eat microwaved foods that come packaged with plastic wrap
Yes
No
3. Do you eat non-organic cereals, bread, and other grain products
Yes
No
4. Do you use deodorants, shampoos and soaps containing synthetic chemicals
Yes
No
5. Do you use after shave lotions or perfumes containing synthetic chemicals
Yes
No
6. Do you use cosmetics or hair colorings containing synthetic chemicals
Yes
No
7. Do you live or work in an area that has synthetic carpeting
Yes
No
8. Do you live or work in an area that has wood cabinets or new furnishings
Yes
No
9. Do you live or work near agricultural areas that use non-organic production methods
Yes
No
10. Do you live or work in an area that has painted walls or ceilings
Yes
No
11. Do you drink non-organic coffee
Yes
No
12. Do you use sugar substitutes or eat any foods that contain "low calorie" sugar substitutes or sweeteners
Yes
No
13. Do you eat foods that contain hydrogenated fats such as margarine or do you eat any foods that contain canola oil or cottonseed oil
Yes
No
14. Do you eat "Fat Free" foods or snacks made with fat substitutes
Yes
No
15. Do ever drink municipal tap water at home or at restaurants
Yes
No
16. Do you eat non-organic fruits, vegetable, grains, meats (all types), dairy foods (all types)
Yes
No
17. Do you breathe polluted city air
Yes
No
18. Have you owned a new car and smelled the 'new car' smells
Yes
No
19. Do you eat fish more than once a week
Yes
No
20. Do you dry clean your clothes at cleaners using synthetic chemicals
Yes
No
21. Are you often irritable
Yes
No
Patience... A Few More To Go!
22. Are you a smoker
Yes
No
23. Do you have difficulty breathing when anxious
Yes
No
24. Do you sometimes use bug killer products inside your home
Yes
No
25. Do you often have a loss of memory and inability to concentrate
Yes
No
26. Do you sometimes feel dizzy
Yes
No
27. Do you sometimes have ringing in your ears
Yes
No
28. Do you get skin rashes very easily
Yes
No
29. Do you often have a metallic taste in your mouth
Yes
No
30. Is your menstrual cycle often erratic or interrupted
Yes
No
31. Do you have excessive hair loss
Yes
No
32. Do you sometimes have unexplained numbness
Yes
No
33. Do you often feel very fatigued or nauseous
Yes
No
34. Does your speech sometimes become slurred or disordered
Yes
No
35. Have you received 3 or more vaccinations
Yes
No
36. Are you involved in one or more of the following professions or hobbies:
Agricultural Product Handlers, Asbestos Abatement Technicians, Auto Mechanics,
Battery Manufacturers, Battery Recyclers, Canning Plant Worker,Carpenters,
Ceramic Manufacturers, Construction Workers, Cosmetic Manufacturers, Cosmetologists,
Dental Assistants, Dental Lab Workers, Dentists, Physicians, Diesel Equipment Mechanics,
Dynamite Manufacturers, Dynamiters, Miners, Electronic Assembly Workers,
Electronic Component Manufacturing, Electroplaters, Photographers,Engravers,
Explosives Experts, Fertilizer Manufacturers, Farmers, Fiberglass Installers,
Fiberglass Manufacturing Workers, Firemen, Firing Range Operators, Fishermen,
Fluorescent Tube Manufacturers, Foundry Workers, Glass Manufacturing Workers,
Glassblowers, Grinder Operators, Hairdressers, Hazardous Material Workers,
Ink Manufacturers, Jewelers, Laboratory Workers, Landfill Workers, Landscapers,
Lumber Processors, Lumber Yard Workers, Metal Recyclers, Metal Sculptors,
Nail Technicians, Paint Manufacturers, Residential/Commercial Painters, Pharmaceutical Workers,
Plastic Product Manufacturers, Plumbers, Plumbing Supply Manufacturers, Policemen,
Potters, Preservative Manufacturers, Food Processors, Cooks, Printers, Search & Rescue Workers,
Ship Dock Workers, Smelting Plant Workers, Solderers, Military Soldiers, Tanners,
Tattoo Artists, Truck Mechanics, Waste Handlers, Well Diggers.
Yes
No
37. Do you have learning disabilities
Yes
No
38. Do you have frequent headaches
Yes
No
39. Are you prone to stuttering and stammering
Yes
No
40. Do you experience chronic coughing
Yes
No
41. Do you have digestive problems
Yes
No
42. Do you experience mood swings
Yes
No
Nearly There... Just A Little Longer!
43. Are you prone to depression
Yes
No
44. Are you a hay fever sufferer
Yes
No
45. Do you sleep on a mattress containing flame retardants
Yes
No
46. Do you regularly eat broiled, fried or barbequed foods
Yes
No
47. Do you eat less than three servings of fruits and vegetables daily
Yes
No
48. Do you fail to eat whole grain or natural fiber foods daily
Yes
No
49. Do you rarely drink several glasses of pure water daily
Yes
No
50. Do you eat white flour foods and drink sodas often
Yes
No
51. Do you use home cleaning products that contain synthetic chemicals
Yes
No
52. Do you take synthetic vitamins daily or several times a week
Yes
No
53. Do you get less than 30 minutes of exercise daily
Yes
No
54. Are your bowel movements irregular
Yes
No
55. Do you use pesticides on your lawn or garden
Yes
No
56. Do you eat fast food or frozen food at least twice a week
Yes
No
57. Are you more than 20 pounds overweight
Yes
No
58. Have you had cancer, diabetes, heart disease, depression, obesity, liver disease or high blood pressure conditions treated by pharmaceuticals
Yes
No
59. Do you have metal fillings in your teeth
Yes
No
60. Do you take antibiotics twice or more a year
Yes
No
61. Do you use more than one prescription drug a day
Yes
No
62. Have you had surgery that used anesthesia
Yes
No
63. Do you use jaccuzis or hot tubs containing water treated with fluroide and chlorine
Yes
No
64. Do you take hot showers using water treated with fluoride and chlorine
Yes
No
65. Do you use a dishwasher containing tap water at home
Yes
No
Conclusion: Your total number of "YES" answers determine your relative toxicity level.