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Ready to assess your health? Complete the short survey below and get your INSTANT RESULTS.
Survey should take about 5-8 minutes to complete.

Water

1. 
Do you use a whole house water filtration system

2. 
Do you drink a minimum of eight 8oz glasses of pure spring water per day?

3. 
Do you drink bottled water in plastic bottles?

4. 
Do you drink alkaline water?

1 out of 11

Sleep

5. 
Do you fall asleep within 15 minutes of laying down?

6. 
Do you have electronics in room where you sleep, i.e cell phone, laptop, or TV?

7. 
Do you wake up during your sleep cycle?

8. 
Do you sleep seven hours per night?

2 out of 11

Chiropractic

9. 
Do you receive chiropractic adjustments at least once per month?

10. 
Do you do exercises to promote a cervical curve in your neck?

11. 
Do you believe that chiropractic care is used as prevention in healthcare?

12. 
Do you hold your cell phone above eye level when reading or texting?

3 out of 11

Acupuncture

13. 
Do you receive acupuncture work monthly?

14. 
Do you believe acupuncture can be used prevention in healthcare?

15. 
Do you use for pain relievers for various pain throughout the body?

16. 
Do you experience radiating pain/sensations throughout the body?

4 out of 11

Massage

17. 
Do you get a massage weekly from a licensed massage therapist?

18. 
Do you believe massage therapy can add to your preventative healthcare?

19. 
Do you have a history of any soft tissue injuries? Sprains, strains, etc.?

20. 
Do you experience poor circulation?

5 out of 11

Cognition

21. 
Do you read a minimum of 30 minutes per day?

22. 
Do you drink Organic Green Tea daily?

23. 
Do you use Full Spectrum lighting in your home, not fluorescent?

24. 
Do you take a prescription to control blood sugar or diabetes?

6 out of 11

Relaxation

25. 
Do you live a high stress life?

26. 
Do you meditate regularly?

27. 
Do you laugh out loud often?

28. 
Do you listen to music for at least 40 minutes per day?

7 out of 11

Fuel

29. 
Do you eat 90% organic foods?

30. 
Do you eat packaged or canned foods?

31. 
Do you eat simple carbohydrates, bread, pasta, candy, donuts regularly?

32. 
Do you eat 80% of your meals at home?

8 out of 11

Movement

33. 
Do you go for daily walks for 30 mins?

34. 
Do you elevate your heart rate through exercise for more than 30 minutes three times a week?

35. 
Do you actively stretch daily?

36. 
Do you participate in hobbies that are active, such as bowling, basketball, softball, etc?

9 out of 11

Nature

37. 
Do you spend a minimum of 60 minutes per day outside?

38. 
Do you get 15 minutes of sun exposure per day?

39. 
Do you spend at least 60 minutes per week in the natural environment near where you live. Beach, Mountains, parks, etc.?

40. 
Do you walk barefoot daily for at least 20 minutes in a natural environment, sand, grass, dirt, etc.?

10 out of 11

Air

41. 
Do you change your homes air filter every 90 days?

42. 
Do you drive a car more than 30 minutes a day?

43. 
Do you use air fresheners in your home or work environment?

44. 
Do you run air conditioning in your home, work, or car more than 2 days per week?

11 out of 11

Enter your name and email to get your results sent to you

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