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How At Risk Are You for Cardiovascular Disease, Autoimmune Disorders, and Other Major Health Concerns?

What weight bracket do you fall under?

Normal Weight

Slightly Overweight

Overweight

Very Overweight

Where does your body seem to carry most of your excess fat?

Waist/hips

Abdominal area

Neck/arms

Thighs/legs/buttocks

How often do you drink alcohol?

Every day

Four times a week

Twice a week

From time to time

How often do you exercise?

20 minutes (or more) every day

1.5-2 hours per week

30 minutes to 1 hour per week

Never

How are your blood sugar levels?

High

Normal

Do you have high cholesterol?

Yes

Do you experience depression and mood disorders?

Yes

Sometimes

Are you diabetic?

Yes

How is your arthritis and/or joint pain?

None

Some pain in joints

Much pain in joints

How often do you consume sugary foods, drinks, and/or dessert?

Rarely/Never

Every day

4-5 times a week

1-2 times a week

How often do you consume canned or boxed foods?

Rarely/Never

Every Day

4-5 times a week

1-2 times a week

How often do you consume whole foods?

Rarely/Never

Every day

4-5 times a week

1-2 times a week

How often do you eat out a week?

Rarely/Never

Every day

4-5 times a week

1-2 times a week

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