| DIETRY | |
| I often eat cold foods direct from the fridge | |
| I often take cold / iced drinks | |
| I often drink cold or iced drinks with meals | |
| I often eat dry foods e.g. rice cakes, crackers, dried fruit, buscuits, crisps | |
| I often drink more than 2 cups of black or green tea per day | |
| I often drink more than 1 unit of alcohol per day, or binge drink | |
| I often eat raw vegetables | |
| I often eat more than 1 serving of raw fruit per day | |
| I often skip meals, go hungry without eating, or knowingly undereat | |
| I have recently done a cleansing or detox program | |
| I have recently done a fast that lasted more than 1 day | |
| I fast for a day or more on a regular basis, more than 1 day per fortnight | |
| I often delay my urge for going to the toilet (hold back my urge to urinate or deficate) | |
| I often eat whilst standing or driving the car | |
| I often eat whilst walking | |
| I often eat whilst working at my computer | |
| I often eat whilst watching TV or reading | |
| I often eat in a hurry, I rush my food | |
| I often eat at irregular times of the day, I have no fixed meals scedule | |
| STIMULANTS | |
| I often smoke tobacco more than once per day | |
| I often smoke or consume Cannabis more than once per fortnight | |
| I often use nicotine (e-cigerettes) more than once per day | |
| I often drink more than 1 cup of coffee per day | |
| I use stronger stimulants (cocainne, MDMA, designer drugs) on a habitual basis (> 4x / year) | |
| PHYSICAL EXERCISE | |
| I often do strong physical exercise / sport. It leaves me feeling tired or sore afterwards | |
| I often push myself beyond my limits when doing physical exercise | |
| I often do moderate to strong physical exercise in the evening | |
| When I do physical exercise I often feel weak, lightheaded, shakey, drained, exhausted | |
| In general I have quite a sedentary lifestyle. I do very little physical exercise | |
| I rarely do any gentle exercise (such as walking, yoga, swimming, stretching, etc) | |
| When going to the toilet, I tend sit on the toilet (rather than squatting) | |
| When going to the toilet, I often have to strain to empty my bowel | |
| SLEEP | |
| In general, I feel like I could benefit from a more sleep | |
| I tend to get less sleep that I feel I need | |
| I often sleep for less than 8 hours | |
| I often stay up late beyond my natural point of tiredness | |
| I am often in front of a screen (TV, computer, tablet) after 20h | |
| In order to get to sleep I need to read or watch TV | |
| I currently work night shifts (more than 1 per fortnight) | |
| I often sleep in a noisy environment | |
| My bed feels uncomftable | |
| In general, I have no regulariy when it comes to sleeping scedule | |
| SEXUALITY | |
| I often feel drained, depleted, empty, very sleepy after lovemaking | |
| In order to get sexual satisfaction, I often need to use stronger forms of stimulation | |
| I often consent to sexual activity without really wanting to | |
| The act of sex often causes me physical pain or discomfort, but I do it anyway | |
| The act of sex often causes me emotional pain or discomfort, but I do it anyway | |
| I regularly practice semen retention and often experience tension or discomfort in my scrotum | |
| In order to practice semen retention / inejaculation, I often use a strong perinium contraction or finger-lock | |
| ENVIRONEMENT (HOME & WORK) | |
| My environment is often cold e.g. airconditioned, outdoors, supermarket, fisherman etc | |
| My environment is often dry e.g. outdoors in dry climate, airconditioned, etc. | |
| My environment is often dry + hot e.g. ventilated air heating | |
| My environment is often quite noisy | |
| My environment is often quite hectic | |
| My life is often very stressfull i.e. competative, deadlines, juggle many things | |
| My life is often quite mentally challenging e.g. lawyer, doctor, manager, politician | |
| BAHAVIOUR | |
| I often use a computer for a large part of the day | |
| I often stand up for long hours e.g. in a shop | |
| I often rush about from place to place for a large part of the day | |
| I often lift or carry heavy objects | |
| I often talk a lot - i.e lecturing, teaching etc. | |
| I often spend long hours in a car or van or lorry etc. | |
| I often exert myself physically - i.e. builder, nurse, farmer etc. | |
| I often travel long distances on a regular basis | |
| I often work long hours | |
| I often work irregular shifts | |
| RELATIONSHIPS | |
| At home I often use a computer for a large part of the day, or in the evenings | |
| The people I live with cause me anxiety, worry, fear, sadness, detachment | |
| My home life causes me stress, anxiety, fear, worry | |
| I have recently moved home (within last 2 months) | |
| TRAVEL | |
| I often spend more than 1 hour per day in a car, bus, train... | |
| I often travel long distances (more than 12 times per year) | |
| CLIMATE & SEASONS | |
| I currently live in a dry climate | |
| I currently live in a cold climate | |
| I currently live in a windy climate | |
| I currently live in a changeable climate (or travel frequently) | |
| I currently live at high altitude | |
| Is it currently the autumn season - i.e. windy, cold, dry | |
| The seasons are currently changing (especially early spring or early autumn) | |
| AGE & TIME RELATED | |
| I am going through puberty | |
| I am approaching or passing through menopause | |
| I am 60 years or older | |
| I am pregnant or have recently experienced abortion | |
