Do you use deodorant that contains aluminum?
Do you use chemically based make up, hair coloring products and body products?
Do you use a fluoride based toothpaste?
Do you drink unfiltered tap water? (vs filtered water)
Are your supplements purchased from Walgreens, GNC, Rite Aid, Walmart?
Do you shower with unfiltered tap water? (vs filtered tap water)
Do you use a Smart Meter on your home?
Are you being exposed to dangerous EMF frequencies with your cell phone?
Are you being exposed to dangerous EMF frequencies at your home/work place?
Do you eat from canned foods often?
Do you have a chlorinated hot tub/jacuzzi or pool?
Do you consume conventionally grown (non-organic) fruits and vegetables regularly?
Do you consume fish, sushi or seafood more than twice a week?
Do you consume conventionally raised animal products (meat, dairy, eggs) regularly?
Do you consume fast foods, canned/packaged foods, soda, or foods with artificial colors, flavors,
preservatives or sweeteners more than three times a week?
Have you lived in a mobile home, boat, or RV, or a very old or brand-new home?
Have you recently been exposed to new construction materials or furniture
(e.g., paint, laminate flooring, particle board, new carpeting, bedding, furniture, etc.)?
Does your home or workplace have cracking paint or decaying insulation or foam, visible mold, water damage,
or damp windows, basement, or crawlspaces?
Are you often exposed to adhesives, paints, flea treatments, varnishes, solvents, welding/soldering materials or
other airborne chemicals at home or work?
Have you been exposed to treated lumber, lead paint, paint chips or dust, broken mercury thermometers or
fluorescent bulbs, or other toxic substances you know of?
Do you regularly use conventional cleaning chemicals, disinfectants, hand sanitizers, air fresheners,
scented candles, or other scented products at home or work?
Have you lived in an agricultural area or often been exposed to herbicides, pesticides, fungicides at home,
work, parks & golf courses, or roadsides?
Do you live or work in a sealed building with recirculated air or a building that has wood, propane, or gas stoves or appliances?
Do you drink water from a well, spring, or cistern, or from plumbing pipes or fixtures installed before 1986?
Are your health concerns related to time spent living or working adjacent to a highway, factory, incinerator, gas station,
power plant, or other industrial pollution source?
Do you smoke or are often exposed to second-hand smoke, fly often, or run or bike to work along busy streets?
Have you had any unusual reactions to anesthesia or to prescription or over-the-counter medications?
Have you had root canals, tooth extractions, “silver” fillings, crowns, dental sealants, dentures, retainers, aligning trays,
braces, mouth guards, dental implants, etc.?
Do you use a cordless land line phone at work or home?