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Wellness In-Take Sheet

Sinai Wellness - Survey

Our philosophy is to determine the root cause of a health concern. TAKE OUR SURVEY AND GET A FREE CONSULT. We believe that you need to be a participant in your wellness with nutrition, lifestyle guidance and mentorship you can feel better!
1.How many times a week do you consume foods with white flour? Pizza, pasta, breads, baked goods, breakfast cereals, etc.
2.How many times a week do you consume white sugar? Sweets, Soda, Non-fruit sweets, Alcohol, desserts.
3.How many times a week do you use seed oils: bottled salad dressings, foods fried in oil (french fries, breaded and fried foods)other products with oils other than Coconut or Olive Oil.
4.How many times a week do you consume snacks? Potato chips, Popcorn, crackers, other "chip products" and cookies.
5.How many times a week do you consume fast foods? You know what they are.
6.How many times a week do you consume dairy (milk, cheese, yogurts, ice cream)? Either alone or when you cook.
7.How many times a week do you consume Restaurant Meals?
8.How many times a week do you consume artificial sweeteners? Either alone or hidden in many "No Sugar" products.
9.How many times a week do you consume Packaged Foods. This is almost everything that is not in it's "whole food" origination. Example: Packaged potato salad, sandwich meats, anything wrapped in plastic, a plastic container, in frozen section and even in produce section such as chopped carrots and other vegies already cut up and packed in plastic container.
10.How many times a week do you buy water in plastic bottles? Start looking for ones in glass, like Voss, or buy your own BPA free plastic gallon and other size containers.