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Supernatural Wellness

General

What is your age?

35-45
45-60
>60


Cardiac

Do you take one of the following medicines?

Lipitor or Atorvastatin
Simvastatin or Zocor
Pravastatin or Pravachol
Another statin
None
Is your HDL level below 40 (Men) or 50 (Women)

Yes
No
How many times do you eat fish each week?

None
1-2
>3
Do you have elevated LDLs?

Yes
No
Don't know
What percent of heart attacks occur with a normal LDL level.

5%
15%
30%


Pulmonary - Lung

Have you tested your home for radon?

Yes
No
Do you have asthma?

Yes
No
Do you smoke?

Yes
No


Musculoskeletal

How many servings of milk and yogurt do you have per day?

None
1-2
3-4
>4
Do you drink coffee or caffeinated beverages daily?

Yes
No
Which of the following medications do you take?

Prevacid
Nexium
Prilosec
None
Do you take thyroid medication?

Yes
No
Do you take an iron supplement?

Yes
No
Do you or someone in your family have kidney stones?

Yes
No
Skeletal or bone mass can be increased after the age of 30?

True
False
Do you suffer from back pain?

Yes
No
Sometimes


Gastrointestinal

Do you suffer from constipation?

Yes
No
Do you eat at least 25 grams of fiber per day?

Yes
No


Neurologic and ophthalmic

Do you have a family history of age related macular degeneration?

Yes
No


Dermatologic Skin and Hair

Do you fish or play golf frequently?

Yes
No





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