Natural Health Products International
BIOLOGICAL AGE Questionnaire:






 
Dr. David Wikenheiser, ND
 
TIME is of the ESSENCE:
 
Learn how to cleanse, detoxify, energize, and reduce your biological age with Flor•Essence®.
 
CLEANSE • DETOXIFY • ENERGIZE

Have you ever wondered how someone 70 years old can run a marathon?
 
Or have you ever mistakenly thought someone was a senior when really they were only in their early 40s?
What makes one person capable of appearing half their age and someone else twice their age?
 
The answer lies in their

Biological Age.
 
 
What Is Biological Age?

Biological Age is the measure of your inner health, which is influenced by your genetics and your lifestyle choices. Biological age is an effective measure of your "true" age because it reflects how well you are taking care of your body by rating the risk of damage your body has undergone in its lifetime. For example, a well maintained car will run for a very long time. The same car, poorly maintained, will breakdown within a few years. Likewise, your body requires proper maintenance to support a long and healthy life.

Two Ways To Determine Your Biological Age
 
Biological age can be determined two ways: either by taking part in an intensive laboratory test, or by completing this easy-to-apply lifestyle questionnaire. The laboratory test is called a Biological Terrain Analysis (BTA). The BTA is a thorough procedure that analyzes key aspects of health and summarizes them into your biological age. The BTA requires a twelve-hour fast as well as samples of blood, urine and saliva. The BTA measures the body's oxidative load, pH (acid/alkaline) balance, and the mineral content of these fluids. Of these measurements, oxidative load has the most impact on biological age.
 
Are You Rusting?
 
Oxygen is essential for energy and life. Each atom of oxygen has six electrons in its outer shell and it requires eight to be balanced. Atomic oxygen will pull electrons from other atoms and molecules. This action of oxygen makes it essential for the efficient production of energy and operation of our immune systems. However, when oxygen is uncontrolled it will create free radicals and damage our bodies. Free radicals are chemically unstable molecules that cause tissue and organ damage. For example, (uncontrolled) oxygen combined with iron will form iron oxide, commonly known as rust. While the body does not literally "rust", uncontrolled oxygen and free radicals damage the body through a similar chemical reaction. This damage is the first step in the development of virtually every chronic health problem and degenerative disease.
 
A proper pH (acid/alkaline) balance within the body is essential for good health. All bodily functions, from thinking to digestion, are controlled by enzymes. Enzymes in turn are controlled by body temperature and pH. Body temperature is usually constant but the ideal pH of various organs may be limited by a poor diet and a toxic load. A pH imbalance will decrease digestion, energy production, cellular repair and immunity.
 
Proper control of oxygen and maintaining a proper pH (acid/alkaline) balance are required for keeping your biological age low.


Questionnaire:

The Biological Age Questionnaire has been modeled after the Biological Terrain Analysis. The questionnaire provides an inner profile by measuring the extent of internal damage your body has accumulated.
 
To achieve an accurate measure of your Biological Age, it is important to answer all the twetny six (26) questions as accurately and honestly as possible in this easy to follow Biological Age Questionnaire.

Questionnaire Privacy:
 
Every visitor who completes this Questionnaire is kept Anonymous. Flora will not collect anyone's name, address, e-mail address, machine name, or any other form of personally identifiable information that completes this Questionnaire.
 
The Anonymous information, which is captured, includes pages viewed, date and time and browser type. Internet Protocol (IP) numbers are temporarily used to determine domain type and in some cases, geographic region. We do not make any association between this information and a visitor's identity.
 
At Flora, we respect the privacy of our customers and visitors and therefore have adopted a set of information management guidelines that are the foundation of our customer relationships.

The Questionnaire is divided into six sections:

 Section A - Chronological Age
 
Please Note: The numerical values (including the negative values) are assigned next to the choice of answers determines the "Total Score" for each of the above sections.

Again, the more accurate you answer, the more accurate the result.




1.  What is your current age (in years)?     

 

 
2.  How frequently do you eat fried, broiled, or barbequed foods?
 
 Often 

 Once a day 

 Few times per week 

 Once a week 

 Almost Never 

 
3.  How often do you consume nutritional oils (not fried or heated)?
     
(example: Udo's Choice Oil Blend)
 
 Never 

 Once a week 

 Once a day 

 2+ times per day 


4.  How many servings of fruits or vegetables do you consume? (1 serving = 1 cup)
 
 Almost Never 

 Few times per week 

 One per day 

 3 per day 

 5+ per day 

 
5.  How often do you consume whole grains and/or natural fiber?

(example: whole wheat, psyllium, brown or wild rice)
 
 Almost Never 

 Once a week 

 Few times per week 

 Often 

 
6.  How many glasses of water do you consume daily?

(water does not include coffee, black tea, soda, alcohol)
 
 Almost Never 

 One per day 

 4 per day 

 8 per day 

 10+ per day 

 
7.  Do you consume sugar, soda, white flour, or other processed foods?  

(example: canned foods, fast food, TV dinners, foods with preservatives added)
 
 3+ times per day 

 Once a day 

 Few times per week 

 Almost Never 
 
8.  How many alcoholic drinks do you consume per week?
 
 12+ per week 

 8 per week 

 4 per week 

 2 per week 

 Almost Never 
 

9.  How often do you add salt to your food?
 
 All food 

 Daily 

 Few times per week 

 Once a month 

 Almost Never 
 
 

10.  Do you take a multivitamin?
 
 Almost Never 

 Once a week 

 Few times per week 

 Daily 
 

11.  Do you take antioxidants?

(example: grape seed extract, selenium)
 
 Almost Never 

 Once a week 

 Few times per week 

 Daily 


 

12.  Do you exercise (30 or more minutes of continuous activity)?
 
 Almost Never 

 Once a week 

 3 times per week 

 5+ times per week 
 

13.  When you exercise, do you do so for more than 2 hours?

(If you do not exercise, please put "0" as your answer)
 
 Most times 

 50% of the time 

 Almost Never 
 

14.  Do you sleep well and awake rested?
 
 Almost Never 

 Sometimes 

 Usually 

 Always 

 
15.  How often do you have normal bowel movements?
 
 Once a week 

 Every 4 days 

 Every second day 

 Daily 

 2+ times per day 
 
 

16.  Is there a history of the following conditions in your family?

(cancer, diabetes, heart disease, depression, obesity, liver disease, high cholesterol, high blood pressure)
 
 2 or more 

 One 

 None 
 

17.  Have you ever had any of the following conditions?
 
(cancer, diabetes, heart disease, depression, obesity, liver disease, high cholesterol, high blood pressure)
 
 2 or more 

 One 

 None 
 
 
18.  How frequently do you experience the following conditions?

(headache, fever, sore throat, muscle aches (not exercise induced) colds or flu, rash, swelling)
 
 Once a day 

 Once a week 

 Once a month 

 Almost Never 
 

19.  Have you ever been exposed to heavy metals or toxic substances?

(example: mechanics, hair dressers, nail technician, etc.)
 
 Daily 

 Weekly 

 Monthly 

 Almost Never 
 

20.  Have you ever been exposed to heavy metals via dental work or fillings?

(example: mercury fillings or other metal fillings)
 
 3+ fillings 

 2 fillings 

 1 filling 

 Never 

 

 
21.  How many full meals do you eat per day? (a snack is not a full meal)
 
 Never 

 4+ per day 

 3 per day 

 2 per day 

 One per day 
 

22.  At work or at home, how often are you in front of electronic equipment?

(example: computers, television, live cameras, electrical wires)
 
 8+ hours per day 

 6+ hours per day 

 Few hours per day 

 Almost Never 
 
 
23.  How often are you exposed to cigarette smoke (direct or second hand)?
 
 All day 

 Few times a day 

 Few times per week 

 Almost Never 

24.  Do you use recreational or street drugs?
 
 2+ times per day 

 Once a day 

 Once a week 

 Once a Month 

 Never 
 

25.
 Do you drive in heavy traffic?
 
 For a living 

 Daily (3+ hours) 

 Daily (1-2 hours) 

 Almost Never 

 
26.  At work and/or at home, do you experience stress?
 
 Very High 

 High 

 Moderate 

 Slight 

 Almost none 
 



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