TOXICITY CHECK LIST
Circle the appropriate response:
Caffeine:
1. No caffeine
2. 1-2 caffeinated drinks daily
3. 3 or more caffeine servings daily
Alcohol
1. 1 or less per week
2. 2-4 times per week
3. 5 or more drinks per week
Food and Drink
1. Organic 90% of the time
2. Organic 50% of the time
3. No organic food/drink
Pharmaceuticals
1. 1-2 times per month or not at all
2. Take 1 or more times a week
3. Take 1 or more on a daily basis
Nicotine
1. No nicotine / second-hand smoke
2. Occasionally around second hand smoke
3. I smoke and/or live around second hand smoke
Sugar and Artificial Sweeteners
1. I don’t eat any
2. I eat some, 2-4 times per week
3. I eat 5 or more times per week
Processed Foods
1. I don’t eat any
2. I eat some, 2-4 times per week
3. I eat 5 or more times per week
Pesticides
1. I live in an area that is organic and I don’t travel
2. I spend some time where non-organic pesticides are used and I have non-organic pesticides at home/workplace
3. I never use organic cleaning supplies
Microwaves
1. I never use the microwave
2. I use the microwave 5 or less times per week
3. I use a microwave to cook and/or reheat food daily
Plastic Containers
1. I use non leaching drinking containers and storage
2. I drink from plastic bottles several times a week
3. I drink from plastic bottles daily
Cooking
1. I use only non-leaching safe cooking pots and pans
2. I cook with Teflon several times per week
3. I cook with Teflon regularly
Silver Fillings / Mercury Amalgams
1. I have no silver fillings
2. I have 3 or less silver fillings or had them removed properly
3. I have 4 or more silver fillings
Vaccines
1. I have never been vaccinated
2. I have had some vaccines but not all
3. I am fully vaccinated
Bowel Movements
1. 1-2 daily
2. 1 daily at least 5 days per week
3. 1 daily 4 or less days per week
Water
1. 8 or more glasses of pure spring water per day
2. 4-7 glasses of pure spring water per day
3. I don’t drink water
After answering all the questions: add up all the numbers circled to get a total number that will represent your level of toxicity.
16-24 Low toxic level. Your lifestyle is very healthy
25-32 Detoxing would be a good idea and beneficial to your system
33-48 Detox Emergency
