How toxic is your body?                                                                              Points

1

Do you currently smoke?

yes/no

5

2

Have you been a smoker for more than 3 years?

yes/no

3

3

Are you exposed to 2^nd hand smoke?

yes/no

5

4

Do you have dental filings?

yes/no

4

5

Do you regularly use household chemicals for cleaning, disinfecting, deodorizing, carpet cleaning, oven cleaning, stain removals?

yes/no

2

6

Do you drink unfiltered water?

yes/no

2

7

Do you live in an urban environment?

yes/no

3

8

Do you consume alcohol?

yes/no

3

9

Ever lived within 10 miles of a power plant?

yes/no

4

10

Ever lived within 5 miles of a power transfer station?

yes/no

5

11

Ever lived near a farm where aerial pesticides are used?

yes/no

5

12

Ever lived on a farm where pesticides are sprayed?

yes/no

5

13

Do you have asbestos in your house, work place, or school?

yes/no

3

14

Do you have lead paint in your house, work place, or school?

yes/no

3

15

Do you consume fast foods?

yes/no

2

16

Have you ever worked professionally with pesticides or chemicals?

yes/no

4

17

Do you have your clothes cleaned with professional dry cleaning?

yes/no

1

18

Has your home been treated for termites in the past 10 years?

yes/no

1

19

Do you consume non-organically grown fruits and vegetables?

yes/no

2

20

Do you live in an area where the ground is known to contain radon gas?

yes/no

3

Do you exhibit any of the following symptoms:

21

Feel fatigued for no apparent reason?

yes/no

2

22

Feel lifeless, depressed?

yes/no

2

23

Feel lightheadedness from time to time?

yes/no

1

24

Have difficulty thinking clearly?

yes/no

1

25

Do you suffer from aches and pains for no apparent reason?

yes/no

3

26

Do you sometimes feel irritable for no reason?

yes/no

2

27

Do you sometimes feel anxious for no reason?

yes/no

2

28

Do you sometimes experience shortness of breath for no apparent reason?

yes/no

2

Have you taken any of the following drugs: (1 point for low usage, 3 points for high usage)

29

Prescription drugs

yes/no

1-3

30

Prescription pain killers / tranquilizers

yes/no

1-3

31

Psychiatric drugs

yes/no

1-3

32

Ritalin

yes/no

1-3

33

Over the counter drugs (OTC)

yes/no

1-3

34

Street drugs

yes/no

1-3

35

Ibuprophen

yes/no

1-5

36

Tylenol

yes/no

1-5

37

Antibiotics

yes/no

1-3

38

Vaccines

yes/no

1-3

39

Steroids

yes/no

1-3

Sum up the points for the questions where you answered "yes":

< 10 points

You may have a very low level of toxicity in your body

10 to 25 points

You may have levels of toxicity in your body which could reduce your ability to feel alive and think clearly

25 to 40 points

You may have a level of toxicity in your body sufficient to cause you to feel lifeless and dull

40 to 50 points

Could indicate a high level of toxicity in your body

> 50 points

You could be experiencing extreme body toxicity which could reduce the length as well as the quality of your life.