On each item give yourself a 1, 2, 3 or 4, being as honest with yourself as you can. When you finish, add up your score for the total. The higher the score, the least toxic you are.
Number of bowel movements per week:
1-3=1 4=2 5-6=3 1-3 daily=4
Describe your skin:
very dry=1 2=dry extremely oily=3 balanced=4
Do you experience gas and bloating?
All day long=1 once/day=2 2 times a week=3 rare=4
Do you have a thyroid condition?
Yes=1 no=4
Describe gallbladder:
removed=1 regular gallstones=2 rarely have =3 never had stones=4
Growth of hair and nails:
poor=1 average=2 good=3 excellent=4
How many pounds overweight are you:
30=1 15-29=2 5-14=3 0-5=4
Joint stiffness or lack flexibility:
constantly=1 frequently=2 occasionally=3 rarely=4
How many hours do you sleep per night?
5 or less=1 6-7=2 7-8=3 8 plus=4
How many rounds of antibiotics have you taken past 5 years? 3=1 2=2 1=3 0=4
How many glasses of purified water do you drink per day (not from tap)?
0-1=1 2-4=2 5-7=3 8 plus=4
Have you had a flu shot or vaccine in past 5 years?
Yes=1 no=4
How many medications do you take daily?
5+=1 3-4=2 1-2= 3 0=4
How many silver fillings do you have in your teeth?
5+=1 3-4=2 1-2=3 0=4
How many servings of vegetables and fruits do you consume daily?
0=1 1-3=2 4-6=3 7+=4
How many servings of grain (bread, oats, rice,) do you consume daily?
5+=1 3-4=2 1-2=3 0=4
Do you feel tired or lack energy?
Daily=1 often=2 sometimes=3 rarely=4
How many servings of organic protein (beef, chicken, fish, eggs or dairy) do you consume weekly?
0-2= 1 3-5=2 6-9=3 10+=4
How often do you consume conventionally raised meat, farm-raised fish, and non- organic dairy servings weekly?
6+=1 4-5= 2 2-3= 3 10 plus=4
How often do you use conventional personal care products with non-organic ingredients?
Daily=1 frequently=2 occasionally=3 rarely=4
How many hours per week of intense exercise (weight training, biking, swimming, etc.)
0=1 1-2=2 3-4=3 5 plus=4
How many times a week do you consume artificial sweeteners like aspartame, sucralose or saccharin?
1 time= 1 packet) daily=1 3-4 days per week=2 1-2 days per week=3 none=4
Add up your totals and if you have a majority of low numbers, you may want to consider taking my new 8 week class on āImproving Your Toxicity Scoresā And Healing The Leaky Gut.ā
