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Health Addendum

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Health Addendum

Health Addendum
Name
First Last
Date
MM slash DD slash YYYY
How many organic fresh fruits and vegetables do you eat daily?
How much organic animal protein do you consume daily (eggs, chicken, turkey, fish, beef, dairy)?
How much filtered water do you drink daily?
How many desserts and/or sweets do you consume daily?
What is your current supplement regime?
How much time each day do you exercise?
How do you exercise?
How many hours of sleep do you get each night?
What time do you awaken?
Do you feel rested when you wake up in the morning?
Where do you see your health next year at this time?
Do you use a flouridated toothpaste?
Do you have any silocone anywhere in your body?
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