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questions

Section 1

Do you class yourself as stressed?*
- Yes
- No
Do you have any trouble getting to sleep?*
- Yes
- No
Do you wake up during the night?*
- Yes
- No
In the past 24 months, have you experienced any of the following? - death of a loved one, partnership or marriage breakdown, infertility, severe illness, moving cities?*
- Yes
- No
Do you suffer from fatigue?*
- Yes
- No
Do you consume more than 2 cups a coffee a day?*
- Yes
- No
Do you sweat easily?*
- Yes
- No
Do you suffer from anxiety or mood swings?*
- Yes
- No
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Section 2

Do you drink alcohol in excess of 2 drinks a week?*
- Yes
- No
Do you consume canned or packaged food?*
- Yes
- No
Would you consume foods with added sugar more than once per week?*
- Yes
- No
Do you eat 'treat' foods, like cookies, cakes or chips?*
- Yes
- No
Do you use margarine or butter?*
- Margarine
- Butter
Do you eat low fat flavoured yoghurts?*
- Yes
- No
Do you consume wheat pasta, white bread or white rice?*
- Yes
- No
Do you drink any soft drinks?*
- Yes
- No
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Section 3

Do you eat 6 or more serves of vegetables every day?*
- Yes
- No
Do you eat a large serve of dark green leafy veggies each day?*
- Yes
- No
Do you consume oily fish, chia seeds, flaxseeds or walnuts?*
- Yes
- No
Do you eat nuts and seeds every day?*
- Yes
- No
Do you eat 2 or more serves of fresh fruit each day?*
- Yes
- No
Do you inlcude avocados, cold pressed olive oil, coconut oil or macdamia oil in your diet?*
- Yes
- No
Do you suffer from bloating or wind?*
- Yes
- No
Do you suffer from reflux or burping?*
- Yes
- No
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Section 4

Do you use a plastic water bottle or plastic food storage containers?*
- Yes
- No
Do you eat food from cans more than once per week?*
- Yes
- No
Do you use conventional soaps, detergents, shower items or personal care products?*
- Yes
- No
Do you eat over 50% of your diet from organic foods?*
- Yes
- No
Do you have a poor tolerance of alcohol or feel queezy or yukky after a fatty meals?*
- Yes
- No
Do you eat non-organic eggs, chicken, pork, beef or dairy?*
- Yes
- No
Do you work with or live around solvents, paints, dyes, air fresheners, smokers or fumes?*
- Yes
- No
Do you suffer from hormonal problems, headaches or migraines?*
- Yes
- No
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Section 5

Do you exercise regularly?*
- Yes
- No
Do you exercise less than 3 times per week?*
- Yes
- No
Do you break out a sweat more than twice a week?*
- Yes
- No
Do you work in a sit down job?*
- Yes
- No
Do you watch more than 30 minutes of TV a day?*
- Yes
- No
Do you suffer from back, neck or shoulder pain that is not injury related?*
- Yes
- No
Do stretch your body for at least 5 minutes less than twice a week?*
- Yes
- No
Are you spending less than 2 hours on your feet each day?*
- Yes
- No
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

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At Brisbane Natural Health we are passionate about helping people to live a life that they love. We specialize in helping people reclaim their health so they can get back to living

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