Get Healthy Now!Get Healthy Now It's not always easy to know where to start when your goal is to be healthy. There are so many good habits to implement, what should come first? This questionnaire will help us help you find your way! By answering these basic questions you will get one step closer to discovering the road blocks that keep you from reaching your goals.Name First Last Email Food and BeveragesWhat do you drink? Water Soda Tea, sweet Tea, unsweet Coffee, sweet Coffee, unsweet Fruit Juice Sports Drinks Flavored Water, no sweeteners Sparkling water wine liquorCheck as many as applyWhat type of breakfast do you prefer? No cook, i.e. pastries, cereals, bars Fast Food Drive Thru Meal cooked at home Smoothies at home Skip BreakfastHow many vegetables do you eat per day?none1-2 servings3-4 servingsmore than 5 servingsName a few of your favorite vegetables to eat in the space below:Do you prefer your vegetables Raw, Salads Cooked, side dishes or casseroles Juices or smoothiesAre there any vegetables you dislike? If so, what are they?Do you eat grains?YesNosometimesDo you follow a gluten-free diet?YesNoI tryEating sugar is bad for my health.Strongly AgreeAgreeDisagreeStrongly DisagreeHow do you feel about the statement above.Does it ever feel like you are addicted to sugar?YesNoSometimesHow often do you eat desserts made with sugars?Every dayOnce a week2 to 3 times a weekOnce a month2 to 3 times a monthLess than once a monthNeverIf you eat fast food, how often?Every dayOnce a week2 to 3 times a weekOnce a month2 to 3 times a monthLess than once a monthNeverDo you meal prep or pack a lunch for work/school?Every dayOnce a week2 to 3 times a weekOnce a month2 to 3 times a monthLess than once a monthNeverWhen using oils I cook with Vegetable oil Canola Oil Coconut oil Olive oil Avocado oil Butter Ghee Lard, Tallow Margarine Red Palm OilHow often do you eat eggs?Every dayOnce a week2 to 3 times a weekOnce a month2 to 3 times a monthLess than once a monthNeverDo you take a vitamin supplement?YesNoSometimesLifestyle HabitsWhen it comes to getting a good night's sleep, I feel:Very SatisfiedSatisfiedNeutralUnsatisfiedVery UnsatisfiedWhen it comes to bedtime and waking up, I: get up early stay up late use an alarm wake naturallyMy bedroom is a peaceful, calm space that makes me feel sleepy: Strongly Agree Agree Disagree Strongly DisagreeHow strongly do you agree?What do you think is the reason your bedroom isn't a place that promotes sleep?Do you use an electronic device (tv, smartphone, tablet, computer) up until bedtime?YesNoSometimesWould you be able to turn your phone off one hour before bedtime on a daily basis? Definitely Probably Not Sure Probably Not Definitely NotHow many hours per day would you estimate you use an electronic device?Please enter a number from 0 to 24.You may include work hours if you are on a computer all day at work.How often do you exercise?Every dayOnce a week2 to 3 times a weekOnce a month2 to 3 times a monthLess than once a monthShoppingKnowing every ingredient in the foods I purchase is important to me Very Important Important Somewhat Important Not ImportantWhen cleaning my home I use:BleachAmmoniaChemical ProductsHomemade cleanersNatural ProductsHouse cleaning servicesI use deodorant or anti-perspirantYesNoSometimesWhen it comes to personal care products I prefer organicVery ImportantImportantSomewhat ImportantNot ImportantWhen it comes to being healthy, the biggest challenge I face is:I would love to learn more about...I would be interested in an online course about basic healthy habits.YesNoMaybeThank you!We truly appreciate you taking the time to answer these questions. Your answers help our team to create better content that is tailored to meet the needs of our readers. If there are any concerns that we have not covered, please feel free to mention them in the section below.