FightingFree Radicals Please fill in Fighting Free Radicals Your First Name* Your Last Name* Today's date* DD slash MM slash YYYY Consists of 3 separate health checks:• Symptom Check • External Toxin Check • Eating Habits Check As you go through each health check, tick off each question where your answer is ‘’yes’’. The total score for each health check will be discussed during your next meeting along with tailored recommendations. Once we have worked out your final score and read your results we will follow up with our recommendations.Symptom Check Score Do you frequently suffer from infections (cough, colds)? Do you find it hard to shift an infection? Do you have a recurrent infection (cystitis, thrush, earache, herpes, etc)? Do you bruise easily? Have you ever suffered from? Cancer Heart disease Cataracts Diabetes Hypertension Infertility AMD Measles Mental illness Gingivitis Arthritis Have your parents collectively suffered from two or more of these conditions? Do you easily get exhausted after physical exertion? Does your skin take a long time to heal? Do you suffer from ache, dry skin, or excessive wrinkles for your age? Are you overweight? External Toxins Check Score Do you work or live in a polluted city or by a busy road? Do you spend more than two hours in traffic each day? Do you spend time in a smoky atmosphere most days? Are you quite often exposed to strong sunlight? Do you consider yourself unfit? Do you exercise excessively? Have you smoked for more than 5 years of your life, less than 5 years ago? Do you smoke now? Do you smoke more than 10 cigarettes a day? Do you have an alcoholic drink each day? Eating habits Check Score Do you eat fried food most days? Do you eat less than two serving of raw or fresh vegetables each day? Do you eat fewer than two pieces of fresh fruit a day? Do you rarely eat beans, lentils, quinoa, nuts, seeds, or whole-grains? Do you eat smoked or barbecued food, or grilled cheese? Do you rarely eat foods rich in vitamin C, such as bell peppers, broccoli, cauliflower, cabbage, watercress, lemons, oranges, kiwi, strawberries? Do you rarely eat food rich in Vitamin E such as tuna, sardines, salmon, beans, peas, sesame seeds, wheat germ, sunflower seeds, vegetable oils? Do you rarely eat foods rich in vitamin A or beta-carotene, such as carrots, squash, pumpkin, cabbage, watercress, sweet potatoes, melon, mangoes, tomatoes, broccoli, beef liver, veal liver?