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How often do you eat processed or packaged foods?DailyA few times a weekRarelyNever
How often do you exercise?DailyA few times a weekRarelyNever
How would you describe your stress levels?LowModerateHigh
Do you smoke or consume alcohol?SmokeConsume Alcohol
Have you experienced any of the following symptoms? (Check all that apply)Hot flashesNight sweatsMood swingsIrregular periodsSleep disturbancesFatigueBrain fogWeight changes
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