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Format: (000) 000-0000.
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- On average, how many hours of sleep are you getting at night?*
- Are you getting paid for doing something you love?*
- How often are you doing things to take care of yourself/practice self-care? (daily routines, journaling, going out for fresh air, facials, walks, working out, eating clean, etc)*
- How often do you smoke cigarettes?*
- How many bottles of water (16oz) do you generally drink daily?*
- How often do you drink juice or soda (excluding cold-pressed)?*
- How many meals do you eat per day?*
- When do you usually have the largest meal of the day?*
- How many servings(1cup or handful) of fruit do you eat every day?(smoothies & cold-pressed juices included)*
- How many servings(1cup or handful) of vegetables do you eat daily?(smoothies & cold-pressed juices included)*
- How often do you get at least 30min of physical exercise?*
- How often do you have fried food (fries, fried chicken, donuts, etc.)?*
- When cooking, do you prefer butter or oil?*
- How often do you eat until you're 100% full/stuffed?*
- After you eat your favorite meals, how does your body feel shortly after?*
- How often did you take a post-lunch nap in the last month?*
- What is your preferred choice of alcohol?*
- What do you do in your spare time? Pick which activity is most similar*
- What's your overall mood like in the last 6 months?*
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