- Question of
How many hours do you normally sleep?
- 1-3
- 4-6
- 7-9
- Question of
Do you use sunscreen regularly?
- Yes
- No
- Question of
How many glasses of water do you drink a day?
- 1-3
- 4-6
- 7-8
- Question of
Do you tend to skip breakfast often?
- Yes
- No
- Question of
Do you have a daily activity that allows you to release stress? (listening to music, going out with a friend, drawing…)
- Yes
- No
- Question of
Do you smoke?
- Yes
- No
- Question of
Do you tend to stay in relationships that are toxic or make you feel insecure about yourself or your abilities?
- Yes
- No
- Question of
When it comes to your dental hygiene, do you floss?
- Yes
- No
- Question of
How many times do you brush your teeth a day?
- 0-1
- 2-3
- Question of
How often would you say you exercise?
- 1-3 times a week
- 3-4 times a week
- 4 times a week (or more)
- I don’t exercise at all
- Question of
Do you tend to eat late at night often?
- Yes
- No
- Question of
Do you have medical (control) checkups at least once a year?
- Yes
- No
- Question of
Do you drink alcohol?
- No, or I do it socially from time to time.
- Yes, two to four times a week.
- Yes, every day or almost every day.
- Question of
Do you worry about having a balanced eating plan?
- Yes, as a matter of fact, I do.
- Yes, but I don’t always make it.
- No
- Question of
Do you generally feel that the stress of your work routine overwhelms you?
- Yes
- No
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