To complete the instant on-line health analysis please press 'ANY KEY: number or letter' in the boxes that apply to your lifestyle or press 'TAB KEY' if not. Data entered in this form will be submitted to your Independent Nature's Sunshine Advisor
1. Would you like more energy?
2. Frequent Illness (once/twice yearly)
3. Body odour and/or bad breath
4. Difficulty digesting certain foods
5. Eat red meat at least twice weekly
6. PMT (female)
7. Use of antibiotic/medication (last 3 years)
8. Regular alcohol consumption
9. Mood Swings
10. Food Allergies
11. Dark circles under eyes
12. Smoking (including passive)
13. Poor concentration or memory
14. Poor resistance to disease
15. Indigestion after meals
16. Stressful lifestyle
17. Skin Problems
18. Crave sweets/processed foods
19. Consume dairy products
20. Depression or apathy
21. Inadequate/restless sleep
22. Menopausal concerns
23. Urination problems
24. Brittle fingernails
25. Sensitive/tight skin/fine wrinkles
26. Hair Loss
27. High fat/cholesterol diet
28. Difficulty in maintaining ideal weight
29. Lack of stamina (physical or mental energy)
30. Poor eating habits
31. Slow recovery from illness
33. Irregular/infrequent bowel activity
34. Nervousness/anxiety/tension
35. Low fibre diet (less than 30g/day)
35. Muscle cramps
36. Dry/damaged/dull hair
37. Exposure to air pollution
38. Sleepiness when sitting
39. Lack of appetite
40. Drink tea, coffee, cola (more than 2 per day)
41. Feeling out of control
42. Food/chemical sensitivities
43. Problems with yeast/fungus
44. Muscle/joint pain or weakness
45. Excessive worry
46. Easily irritated/angered
47. Insufficient exercise
48. Problems with congestion/mucus
49. Large pores/shiny skin/blemishes
Body Systems Score (see body systems here) Your Name (Optional - If Printing for your Records Only): GOOD>FAIR> BAD•••>? If 'FAIR TO BAD' or more consider system products:
Your score for each body system will appear in the the boxes. Less characters is GOOD and more characters is BAD. First pay attention on system with more BAD scores. If you decide to submit this data your information will not be stored or shared without your consent. You may complete this lifestyle analysis as many times as you wish.