"*" indicates required fields

How many different plants do you eat per week? (e.g., fruits, vegetables, whole grain breads and cereals, nuts and beans)*

How often do you consume foods with added probiotics, such as probiotic-added: yogurt, kefir, dried fruit, cereal, bread, juice or other drinks?*

When you do consume probiotics, are you more likely to choose*

How often do you consume fermented foods, like yogurt, kefir, cultured cottage cheese, sauerkraut, kimchi or kombucha?*

How often do you consume prebiotic foods like onions, garlic, bananas, beans, whole grains, chicory root, asparagus, beets and artichoke?*

Most nights I get _____hours of sleep. (complete the sentence)*

How many days per week do you get at least 30 minutes of moderate intensity exercise?*

Do you have some form of activity you practice regularly to relax? (Examples: breathwork, journaling, hobbies, reading, listening to or playing music, time with family and friends).*

How often do you meditate or practice mindfulness?*

How many 8-ounce glasses of water do you consume per day?*