What brought you here today?

Tell us how you eat most days of the week

Select all that apply to you.

On a typical day, how many vegetables do you eat?

Good to hear. About how many of those are greens?

The dark leafy kind.

Do you get much dairy in your daily diet?

Milk, cheese, yogurt, and calcium-fortified alternatives all count.

What’s your daily caffeine routine?

Tally up your coffee, caffeinated tea, and soda drinks.

In an average month, how often do you drink?

How often are you active?

If it boosts your heart rate or makes you break a sweat, let’s count it.

What do you do to stay active?

Select all that apply to you.

Are you currently experiencing any of these symptoms?

Select all that apply to you. If none apply, simply continue to the next question.

Ok. Do any of these describe your skin?

Select all that apply to you. If none apply, simply continue to the next question.

Do any of these describe your gastrointestinal issues?

Select all that apply to you.

Do you have (or have you ever had) any of these conditions?

Select all that apply to you. If none apply, simply continue to the next question.

Do you smoke?

Have you been told you are deficient in iron?

Are you taking any of the following medications?

Select all that apply to you. If none apply, simply continue to the next question.