0 = Rarely/Never; 1= Occasionally/Once every other week; 2 = Sometimes/Once or twice a week; 3 = Often/A few times a week; 4 = Always/Daily
Do you consume less than five cups of vegetables and/or salad daily?
How often do you eat non-organic foods?
Do you eat processed meat, or fatty meat such as ham, salami, devon or sausages?
Do you drink alcohol?
Do you drink more than four alcoholic drinks in one sitting?
Do you use ‘social’ or ‘recreational’ drugs?
Does your diet contain soft drink and/or junk food (e.g. chips, chocolate, biscuits, lollies, cakes, cookies)?
Do you consume food or drink from plastic, plastic-lined containers, tin or aluminum (e.g. bottled water, disposable coffee cups, canned food, aluminum cans, takeaway food containers)?
Are you, or have you been, exposed to insecticides, pesticides or herbicides in the last 12 months (e.g. had your home sprayed for pests, or used weed killing sprays, termite or flea treatments)?
Are you, or have you been, exposed to heavy traffic, exhaust fumes and pollution?
Do you use synthetic cleaning products at home (e.g. disinfectants, detergents, bleach, polishes and similar products)?