How Healthy are You (really)?

How many servings of vegetables do you consume in a day?
1
2
3
4
5+
How many times a year are you getting Adjusted?
Every 6 months
Every 3 months
Once a month
Twice a month
Once a week
On average, how many hours of sleep do you get per night?
3-5 hours
5-8 hours
8+ hours
How many glasses of water do you drink a day?
1-2 glasses
3-4 glasses
5-6 glasses
7-8 glasses
8+ glasses
On scale of 1-5, 5 being very stressful and 1 being little to no stress, how would you rate your current job?
1
2
3
4
5
On a scale of 1-5, 5 being very stressful and 1 being little to no stress, how would you rate your home environment?
1
2
3
4
5
On average, how many alcoholic drinks do you consume in one week?
<1 drink per week
1-3 drinks per week
4-7 drinks per week
> 8 drinks per week
On average, how many cigarettes do you smoke per day?
None- I do not smoke
1-5 cigarettes
5-10 cigarettes
1/2 a pack
1 pack
> 1 pack per day
On average, how many processed foods do you consume in one week?
None
1 meal per week
2-4 meals per week
5-7 meals per week
8+ meals per week
How many days a week do you exercise for 30 or more minutes?
1
2
3
4
5
6
7
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