Which restaurants?What times do you eat?Are your meals relaxed or stressful times?Who cooks at your home?Do you like to cook?Occupation?Married?How many children do you have?What music do you listen to?What is your favorite color?Are you pregnant or trying to get pregnant?Are you seeing a physician or health care practitioner for any reason?How many times do you urinate in one day?How many times do you urinate at night?How many bowel movements do you have each 24 hour period?Are your bowel movements hard, dry, soft, runny or constipated?Have you ever used tampons?Following is a list of health problems. Please circle any which apply to you: lowblood pressure, asthma, earaches, eye pains, dry or wet eyes, hay fever, sinuscongestion, sore throat, bloating, dark circles under eyes, itchy ears or eyes,emotional insecurity, dryness, itching, difficulty breathing, congestion, abdominalpain, indigestion, hyperthyroidism, and vertigo, frequent headaches, and nausea,and dizziness.From the list above, which problems do you have NOW?Are you allergic to any medications?Which ones?Which medications are you taking now?What vitamins/supplements do you take now?Have you had any major operations? Accidents?Have you had any hospitalizations? For what reason?If you are female the following is a list of health problems commonly experienced byfemales. Please circle any which you are experiencing NOW: shortness of breath,irregular menstrual cycles, heavy menstrual bleeding, bleeding between cycles,dramatic mood swings around your menstrual cycle, and hot flashes. The followingis a list of some common physical activities. Which do you participate in?: Sitting ata desk, sitting in a car, jogging/running, calisthenics, aerobics, weight lifting,walking, standing, and dancing.Which do you do and for approximately how long each week?Have you used birth control ?How many pregnancies have you had? (List any miscarriages or abortions as well?