How old are you?

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What is your gender?

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How often do you eat leafy vegetables?

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How often do you eat beans?

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How often do you eat nuts and seeds?

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Do you eat foods with high sugar, fats, or salt?

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Do you drink more than 7 alcoholic beverages per week?

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Do you drink more than 3 cups of coffee or tea per day?

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Are you taking any kind of diuretic such as Lasix, Aldactone, Microzide?

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How often do you experience anxiety?

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