1. How regularly do you exercise?
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I exercise everyday
I exercise 3 to 4 times a week
As and when I get the time
I don`t have time for exercise
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2. What is your daily eating schedule?
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I eat 3 meals a day
Depends on the diet I am following
I eat at periodic intervals in a day
I eat irregularly, usually on the run
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3. How long do you sleep at night, including the naps?
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8 hours or more
Approximately 7 hours
Approximately 6 hours
Less than 6 hours
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4. Do you prefer `take-out meals` and fast foods?
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Yes
No
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5. Is your lifestyle balanced?
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Balanced: I have rather manageable responsibilities, I get sufficient time to spend with my family,
and I do at least one activity that nurtures my soul
Little Bit Imbalanced : Though I have something of everything, yet there is a little bit of excess in responsibilities and a little less time to spend with family
Imbalanced. I have no time for myself or my family and I have too many responsibilities
Imbalanced. I have lack of responsibilities and in fact I don`t do anything that challenges me
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6.Does your day begin with a breakfast?
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Yes
No
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7. How much water do you consume daily?
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1-2 glasses
2-3 glasses
More than 3 glasses
1-2 liters
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8. How often do you take alcohol?
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Every evening
I drink 2 to 3 alcoholic beverages
I try but find it difficult to stick to any limits
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9. What is your opinion about diets?
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I eat some vegetables and fruits daily, I eat other foods too but I think I can eat a little healthier
I follow a poor diet that includes excess sugar as well as fat and lacks fruits and protein
I only eat fast foods and drink colas and there are no vegetables in my diet
I eat a healthy and nutritious diet which has all the elements needed by body
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10. Are fats important for the body?
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Yes
No
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11. What is your daily caffeine consumption?
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Zero. I don`t consume tea, coffee, cola or chocolate
Little. I drink a cup of tea, coffee or cola in a day and eat little chocolate
Some. I usually drink 2 to 3 cups of tea, coffee or cola and eat small quantities of chocolate
Too much. I take 4 or more cups of tea, coffee or cola and without it I would suffer withdrawal symptoms
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