Sign-up for free E-BOOK now

Click to order supplements and other natural products

Testimonials

"The most informative site on amalgam issues I have ever found. It's time to stop poisoning our children with amalgam and to heal from chronic mercury poisoning. Thanks Alison for providing a wealth of information for doing that."
Amit Hindelshaim, Recovered Mercury Poisoning Victim and Health Blogger (Hebrew)

Translate this pageMicrosoft® Translator

Lifestyle Assessment Questionnaire

By using this assessment occasionally you will be able to monitor how supportive your lifestyle habits are of recovering from a chronic, serious or degenerative illness. As they say "The definition of madness is to keep on doing the same thing and expect a different result" and the tendency is to slip back into the old habits which helped to create the illness in the first place.

The results will show you which areas of your lifestyle could do with improvement. You will need to print out and keep your results for future reference.

Please reflect back over the last week when answering the following questions:

1. How many portions of dairy products have you eaten on an average day? (Include milk, cheese, butter, cream, yoghurt, etc. One portion of milk counts as a small glass/milk with cereal/ 4 cups of coffee or tea with milk, one chunk of cheese or a pot of yogurt/dairy based dessert)

a) None, I don't eat dairy produce
b) Occasional/one a day
c) Two or three a day
d) Four or more a day

2. How many portions of wheat-based products have you eaten on an average day? (Include bread, crackers, biscuits, cereals, cake, pasta, etc)

a) None, I don't eat wheat
b) Occasional/one a day
c) Two or three a day
d) Four or more a day

3. How often did you choose processed or white bread, pasta or rice in preference to whole grain products?

a) I ate whole grain products whenever possible
b) I ate both whole grain and refined grain products
c) I ate refined grain products whenever possible
d) I can't tolerate whole grains

4. How many sugary snacks/foods/drinks did you eat or drink on an average day? (Include biscuits, cakes, puddings, snacks, chocolate bars, ice cream, sweetened coffee or tea, soft drinks, etc)

a) None, I don't eat sweetened or sugary foods
b) Occasional/one a day
c) Between two and four a day
d) Five or more a day

5. How many caffeinated drinks did you drink on an average day? (Include coffee, tea, Colas, energy drinks, etc)

a) I don't drink caffeinated drinks
b) Occasional/one a day
c) Two or three a day
d) Four or more a day

6. How many less-than healthy restaurant/takeaway/ready meals have you eaten in the last week?

a) None
b) One or two
c) Three or four
d) More than five

7. Reflecting back on the last week, what proportion of the food you have eaten was organic?

a) Most
b) More than half
c) Less than half
d) Little or none

8. How many units of alcohol have you drunk on an average day? (One unit of alcohol is equivalent to one small glass of wine, one measure of spirits or half a pint of beer or cider)

a) Less than one a day
b) Two or three
c) Four or more
d) I am alcohol intolerant

9. How many portions of fish, meat, eggs or cheese have you eaten on an average day? (A portion is the size of a pack of playing cards.)

a) Less than one
b) Between one and two
c) At least three
d) I am vegan

10. How many portions of fruit and vegetables have you eaten on an average day? (One portion is the equivalent of one apple or two average tomatoes or three tablespoonfuls of cooked or chopped vegetables. Exclude potatoes.)

a) None
b) One or two
c) Three or four
d) Five or more

11. How many portions of oily fish have you eaten in the last week? (Include salmon, sardines, herring, mackerel, trout and tuna.)

a) None
b) One
c) Two
d) Three or more

12. How many glasses of water have you drunk on an average day?

a) None
b) One or two
c) Three or four
d) Five or more

13. How many portions of raw nuts or seeds have you eaten in the last week? (A portion is a handful of raw sunflower or pumpkin seeds or cashew, almond or brazil nuts, hazelnuts or walnuts)

a) None
b) One or two
c) Three or four
d) Five or more

14. How many cigarettes have you smoked per day on average?

a) None. I don't smoke
b) Between one and ten
c) Between eleven and twenty
d) More than twenty

15. How many times have you used recreational drugs in the last week?

a) None. I don't do drugs
b) Once
c) Twice
d) Three or more times

16. Have you been taking all the supplements suggested:

a) Every day without fail
b) Most of the time. I forgot/missed some
c) Occasionally
d) I did not take any supplements this week

17. How many times this week have you taken at least 30 minutes of exercise? (Include walking or any activity that raises your heart rate.)

a) I have had no exercise/am unable to exercise
b) Once or twice
c) Three or four times
d) Five or more times

18. Of the body care products you have used in the last week, what proportion were natural/organic? (Include antiperspirants, shaving foams, soaps, shampoos, lotions, make-up, toothpaste, etc)

a) Most
b) More than half
c) Less than half
d) Little or none

19. Of the household cleaning products you have used in the last week, what proportion were natural/organic? (Include washing-up liquid, furniture polish, scouring agents, toilet cleaners, etc.)

a) Most
b) More than half
c) Less than half
d) Little or none

20. How many different pharmaceutical drugs have you needed to take in the last week? (Include the contraceptive pill, HRT, aspirin, pain killers, inhalers, prescription medication, over-the-counter medication and even prophylactic medication such as statins)

a) None. I don't take pharmaceutical drugs
b) One or two
c) Three or four
d) Five or more

21. How many hours of non drug-induced sleep did you get on an average night last week?

a) None. I can't sleep without sleeping aids
b) Less than four
c) Between four and six
d) Seven or more

22. How have you managed any cravings you may have had for stimulants such as chocolate, coffee, cigarettes, alcohol or drugs this week?

a) I haven't had any cravings
b) I have had some cravings which I have had been able to ignore or resist
c) I have had frequent cravings and have given in to some of them
d) I have had almost constant cravings which I have been unable to resist

23. In the last week, have you taken some time to rest and restore in whatever way is meaningful to you? (Include listening to music, reading a book, watching a film, having a massage or luxurious bath, etc)

a) No
b) A little time once or twice
c) Several enjoyable times
d) Some restful time every day

24. Have you made any progress on old emotional patterns or tackling emotional issues this week? (This could include saying 'No' when you would normally have said 'Yes', discussing an issue with someone, thinking about why you did/said something, confronting someone, etc)

a) No. I feel as though I took a step backwards
b) No progress
c) Some progress
d) An important step/break-through/realisation

25. How many times this week have you been outside in daylight?

a) None. I have been indoors and/or in the car nearly all the time
b) Occasionally for short periods of time
c) Most days for at least 30 minutes
d) Every day for at least 30 minutes