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PHYSICAL

I eat breakfast everyday

Always
Frequently
Sometimes
Seldom
Never

I drink 2 litres/ 7-8 glasses of water daily

Always
Frequently
Sometimes
Seldom
Never

I consume at least 5 servings of fruits and vegetables daily

Always
Frequently
Sometimes
Seldom
Never

I exercise at least twice a week

Always
Frequently
Sometimes
Seldom
Never

I sleep 7-9 hours everyday

Always
Frequently
Sometimes
Seldom
Never

The quality of my sleep is

Excellent
Good
Fair
Poor
Terrible

I eat breakfast everyday

Always
Frequently
Sometimes
Seldom
Never

I consume alcohol

Never
Biweekly
Once a week
Few times a week
Daily

I smoke cigarettes

Never
Biweekly
Once a week
Few times a week
Daily

I eat my meals outside the house

Never
Biweekly
Once a week
Few times a week
Daily

I consume processed foods

Never
Biweekly
Once a week
Few times a week
Daily
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