1. What is your resting heart rate (pulse)?
Measure your pulse first thing in the morning or after sitting quietly for at least 5 minutes.
**If you are currently taking blood pressure medications, score yourself 0 points and move to the next question.
- less than 60 (7 points)
- 61-70 (5 points)
- 71-80 (3 points)
- 81-90 (1 point)
- 91+ or taking medications for blood pressure (0 points)
2. Is your diastolic blood pressure (bottom number) below 80?
**If you are currently taking blood pressure medications, score yourself 0 points and move to the next question.
- Yes or almost always (6 points)
- No or only occasionally; or you take blood pressure medications (0 points)
3. You struggle with burning or uncomfortable sensations in your hands or feet, you’ve been diagnosed with carpal tunnel or restless leg syndrome, and/or your hands shake when you are hungry or stressed.
- Yes (0 points)
- No (6 points)
4. You get headaches at least twice a month.
- Yes (0 points)
- No (6 points)
5. You tend to get very tired in the afternoons.
You feel the need for a nap or some serious caffeine.
- Never (6 points)
- Sometimes (3 points)
- Frequently (0 points)
6. You really struggle to lose weight, and regain easily/rapidly.
- Not at all (6 points)
- Somewhat (3 points)
- Yes! (0 points)
7. On blood work, your fasting glucose (blood sugar) is over 100, or your doctor has said you are prediabetic or type 2 diabetic.
- No (7 points)
- Fasting glucose is above 100 or you’ve been told you are prediabetic (4 points)
- You have Type 2 Diabetes (0 points)
8. Your feet and ankles swell after sitting for a while.
- Never (6 points)
- Sometimes (3 points)
- Often (0 points)
9. You get heartburn or take medications for heartburn (GERD, gastritis, esophageal reflux).
- Never or rarely (6 points)
- At least once per week (3 points)
- Twice or more weekly or taking medications (0 points)
10. You have a sweet tooth or crave starchy foods, and when they are around, you tend to eat more of them than you want to.
- Not at all (7 points)
- Somewhat (3 points)
- It’s a major struggle! (0 points)
11. You tend to have something sweet or starchy at most meals, or you obsess about starchy and sweet foods when you can’t have them.
- Not at all (6 points)
- Somewhat (3 points)
- All the time (or frequently) (0 points)
12. You can lose some weight, but then your energy crashes so you stop dieting.
- Not at all (6 points)
- Somewhat (3 points)
- Exactly! (0 points)
13. You are always the warmest person in the room wanting to turn the thermostat down, or activity can make you uncomfortably hot and sweaty, especially when rushed.
- Not at all (8 points)
- Somewhat (4 points)
- This is me! (0 points)
14. You always look for the closest parking space, elevators, or anything that requires less movement.
- Not at all (8 points)
- Somewhat (4 points)
- This is me! (0 points)
15. When you put on weight it tends to accumulate around your belly and neck or under your chin.
- Not me (9 points)
- Somewhat (5 points)
- Yes! I hate it! (0 points)