Take Our Short Quiz!

A few simple question can help you reach your goals!

Welcome .

Our short quiz can help you determine how toxic your habits are and what we can do to help.

1.) Do you smoke or are you exposed to second hand smoke?.

2.) Do you exercise / work up a sweat everyday?

3.) Do you have issues with your skin? This includes eczema, acne, psoriasis and other skin conditions.

4.) Do you drink tap or well water without filtering out fluoride, chloramines, perchlorate and pesticide residues?

If you are not 100% sure because you haven't checked which chemicals your filter removes, then answer "yes".  If you DON'T have a filter, the answer is "yes".


5.) Do you use Teflon (non-stick) cookware?

6) Do you eat conventionally raised meat?

7.) Do you have mercury amalgams ("silver" fillings) in your teeth?  And/or have you had braces with metal brackets?

8.) Do you eat packaged / processed foods, canned foods on a regular basis?

9.) Do you eat large fish (salmon, cod, swordfish, tuna) more than once a week?

10.) Do you store food in plastic containers?

11.) Do you rely on caffeine, energy drinks or stimulants to get you through the day?

12.) Do you experience bloating, gassiness or indigestion frequently?

13.) Do you regularly eat sugar (candy, pastries, soda, desserts) or breads (toast, muffins, crackers, pasta, etc.)?

14) Do you drink alcohol everyday?

15.) Do you use regular household cleaning products?

16.) Do you have at least one bowel movement everyday?

17.) Do you often feel tired, have low energy, brain fog or poor memory?

18.) Have you used antibiotics, prescription meds, or OTC meds (including birth control) in the past 6 months?

19.) Have you done a detoxification or body cleanse program with in the last year?

20.) Are there any pesticides or weed-killers inside your home and on your yard?

21.) Do you eat conventionally raised (non organic) fruits and vegetables?

22.) Do you use regular personal care products?

If you are not consciously buying 100% herbal-based shampoo, conditioner, deodorant, soap, moisturizers, makeup, toothpaste, etc. then the answer is "yes")



Thank you for taking our Toxicity Quiz by Envision Wellness at DocJacey.com.

To see your results please fill out the contact information below.

Sincerely

Dr. Jacey Folkers
Envision Wellness
4611 S 96th St #139
Omaha, NE 68127
(402) 281-0825



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