First Name
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Email
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Last Name
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I eat primarily organic foods, whether produce, baked, canned, or prepared.
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Never Me
Seldom Me
Sometimes Me
Often Me
Always Me
I read food labels and avoid chemically laden, overly processed foods.
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I use organic spices and other ingredients when it comes to flavoring my food.
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I engage in routine internal detoxification through diet, supplements, and/or programs.
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Never Me
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I use chemical-free/natural toothpaste and oral care products.
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Never Me
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I use chemical-free/natural skin/face care and makeup products.
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Never Me
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I use chemical-free/natural hair, hand, and body care products.
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I use chemical-free natural products to clean my home.
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I use chemical-free/natural air purifying/freshening products, devices, and candles.
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I use chemical-free/natural laundry products, free from synthetic fragrances.
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I use chemical-free/natural products for my yard care.
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I use toxin-free solutions when outdoors for suncare and insect repellents.
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I am free from chemical sensitivities.
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My body aroma is not offensive, and I perspirate in a healthy way.
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I drink pure/purified water as my consistent water source.
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I consume enough water - approximately 1/2 my body weight in ounces - daily.
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Never Me
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I maintain limited exposure to electromagnetic devices (cell phone, computer, TV, Etc)
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Always Me
Seldom Me
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Always Me