Body Toxicity Questionnaire

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1. Do you smoke cigarettes?
2. How many cups of water do you drink daily?
3. How many times per week do you eat raw salads and fruits?
4. Do you drink filtered water?
5. Are you exposed to excess environmental chemicals?
6. Do you use a lot of chemicals in your home?
7. Do you work in a toxic environment?
Such as: nail technician, dry cleaner, agricultural worker (using sprays), painter
8. Do you have a lot of allergies?
9. Do you have bad breath?
10. Do you have a coated tongue?
11. Do you have body odor?
12. Do you have skin infections?