1.

This survey is collect information about the level of well-being you experience in your day to day life.

* 1. Please tell me some basic information about yourself:

* 2. How often do you feel rested when you wake up?

* 3. How often do you read the ingredients label of food products?

* 4. Specify the usual percentage of your diet each of these items consumes:

  5% 15% 25% 35% 50% 65% 75% 85% 95% 100%
Conventional, imported
Conventional, local
Conventional, home-grown with pesticides
Organic, imported
Organic, local
Organic, home-grown naturally (including sprouts)
Wild, store-bought
Wild, harvested locally or at home
Permaculture food, home-grown

* 5. Which of the following best applies to your diet?

(If you're 99% vegan, that's close enough for the purposes of this question to call yourself vegan. 99% vegan would mean that you have about 1 measuring cup of something non-vegan in a week, or 4 measuring cups in a month.)

* 6. How often do you...

  Never Yearly 2-6 Times Yearly Monthly 2 Times Monthly Weekly 2-3 Times Weekly 4-6 Times Weekly Daily 2-3 Times Daily 4+ Times Daily
...drink, but not get drunk?
...get drunk?
...smoke cigarettes?
...smoke weed?
...drink soda (including diet soda)?
...eat corn-syrup candy?
...eat peanuts?
...eat red meat?

* 7. (To the best of your knowledge) How often do you consume approximately one teaspoon of the sweetener...

  Never Yearly 2-6 Times Yearly Monthly 2 Times Monthly Weekly 2-3 Times Weekly 4-6 Times Weekly Daily 2-3 Times Daily 4+ Times Daily
...White stevia
...Green stevia
...Agave syrup
...Corn syrup
...White sugar
...Brown sugar
...Cane sugar
...Xylitol
...Aspartame
...Splenda
...Honey
...Maltitol
...Sucralose
...Palm sugar
...Coconut sugar crystals
...Other

* 8. How often do you eat...

  Never Yearly 2-6 Times Yearly Monthly 2 Times Monthly Weekly 2-3 Times Weekly 4-6 Times Weekly Daily 2-3 Times Daily 4+ Times Daily
1 measuring cup of sprouts?
1 measuring cup of leafy greens?
1 measuring cup of vegetables (not greens)?
1 measuring cup of fresh fruit (not berries)?
1 measuring cup of berries?
a handful of raw unsalted seeds?
a handful of raw unsalted nuts (excluding cashews and peanuts)?

* 9. How would you describe your life?

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