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QUIZ

Oxidative Stress Questionnaire

 

The goal of this questionnaire is to assess the possibility of being affected by oxidative stress.


It is not intended to diagnose, treat, cure, or prevent any disease.

The results and recommendations at the end of the questionnaire are purely protective indications in order to avoid the possible onset of oxidative stress.

1 - How many cigarettes do you smoke per day?

  • I don’t smoke ................................................................................... 0
  • I smoke less than 10 cigarettes per day........................................... 4
  • I smoke 10 to 20 cigarettes per day................................................. 6
  • I smoke 20 to 40 cigarettes per day................................................. 8
  • I smoke more than 40 cigarettes per day....................................... 10

 

2 - How often do you drink alcohol?

  • I do not drink alcohol....................................................................... 0
  • I drink a glass of beer or equivalent per day.................................... 4
  • I drink 2 glasses of beer or equivalent per day................................ 6
  • I drink 3 glasses of beer or equivalent per day................................ 8
  • I drink more than 3 glasses of beer or equivalent per day..............10

 

3 - How often do you sunbathe?

  • Never.............................................................................................. 0
  • Approximately ten days per year....................................................1
  • One month per year........................................................................ 2
  • Two to three months per year......................................................... 3
  • Three to four months per year........................................................ 4
  • More than four months per year..................................................... 5

 

4 - How often do you dye your hair?

  • Never.............................................................................................. 0
  • Seldom (once a year)..................................................................... 1
  • Often (four times a year)................................................................ 2
  • Very often (once a month)..............................................................3

 

5 - How often do you wear dry-cleaned clothes?

  • Never.............................................................................................. 0
  • On rare occasions in the year........................................................ 1
  • Several times a month................................................................... 2
  • Several times a week..................................................................... 3

 

6 - How often do you exercise?

  • Occasionally (less than once a week)............................................ 0
  • Often (twice a week)....................................................................... 1
  • Intensively (competitive training)................................................... 2

 

7 - What type of stove do you have?

  • Electric........................................................................................... 0
  • Wood.............................................................................................. 1
  • Gas.................................................................................................. 2

 

8 - Do you use a microwave oven?

  • Never............................................................................................. 0
  • A few times a week....................................................................... 1
  • Every day....................................................................................... 2

 

9 - Do you use an extractor hood with your stove?

  • Yes................................................................................................. 0
  • No.................................................................................................. 1

 

10 - What type of water do you drink?

  • Only bottled mineral water........................................................... 0
  • Both mineral water and tap water.................................................1
  • Only tap water............................................................................... 2

 

11 - How do you normally cook your food?

  • Always boiled or steamed.............................................................. 0
  • Usually boiled or steamed.............................................................. 4
  • Often fried....................................................................................... 6
  • Usually fried.................................................................................... 8

 

12 - Do you eat organic food?

  • Very often (every day)...................................................................... 0
  • Often (two to three times a week)................................................... 4
  • Rarely (once a week)......................................................................... 6
  • Hardly ever......................................................................................... 8

 

13 - How often do you eat fruits and vegetables?

  • Very often (five fruits and vegetables a day)................................... 0
  • Often (two to three times a week)................................................... 4
  • Seldom (once a week)....................................................................... 6
  • Hardly ever (less than once a week)................................................. 8

 

14 - Do you take any vitamin supplements? (A, C, E)

  • Every day........................................................................................... 0
  • Occasionally (two to three times a year for one month)..................1
  • Seldom (once a year for one month)............................................... 2
  • Never................................................................................................. 3

 

15 - Do you take any mineral supplements? (Se, Zn, Ca)

  • Every day.......................................................................................... 0
  • Occasionally (two to three a year for one month)...........................1
  • Seldom (once a year for one month)............................................... 2
  • Never................................................................................................ 3

 

16 - What kind of environment do you live in?

  • Countryside (isolated)..................................................................... 0
  • Village (500 – 1,000 inhabitants)..................................................... 1
  • Small town (1,000 – 20,000 inhabitants)........................................ 2
  • Medium-sized town (20,000 – 200,000 inhabitants)..................... 3
  • Large town (over 200,000 inhabitants).......................................... 4

 

17 - How would you describe your environment in terms of noise disturbance?

  • Calm and silent.................................................................................  0
  • Slightly noisy (occasional noise)....................................................... 1
  • Moderately noisy (permanent background noise)........................... 2
  • Noisy (permanent background noise and occasional loud noises).3
  • Very noisy.........................................................................................  4

 

18 - What type of building do you live in?

  • Over 5-year-old building................................................................. 0
  • Fairly new building (less than 5 years).............................................1
  • New or renovated building (less than one year)............................. 2

 

19 - Do you use detergents at least once a week?

  • No..................................................................................................  0
  • Yes.................................................................................................. 1

 

20 - Do you use solvents at least once a week?

  • No.................................................................................................. 0
  • Yes.................................................................................................. 1

 

21 - Do you use pesticides at least once a week?

  • No.................................................................................................. 0
  • Yes.................................................................................................. 1

22 - Do you use air fresheners at least once a week?

  • No.................................................................................................. 0
  • Yes.................................................................................................. 1

 

23 - Are you exposed to physical (gas, smoke etc.) or chemical (toxic products, paints etc.) pollution in your daily life including your working environment?

  • Very slightly....................................................................................0
  • Slightly............................................................................................1
  • Moderately.....................................................................................2
  • Heavily........................................................................................... 3
  • Very heavily....................................................................................4

 

24 - How much are you affected by psychological stress at work or in your daily life?

  • Slightly........................................................................................... 0
  • Moderately..................................................................................... 1
  • Heavily............................................................................................ 2
  • Very heavily.................................................................................... 3

 

25 - How old are you?

  • 30 – 39........................................................................................... 1
  • 40 – 49........................................................................................... 4
  • 50 – 59........................................................................................... 8
  • 60 – 69.......................................................................................... 12
  • 70 – 79.......................................................................................... 18
  • 80 and above................................................................................ 24

 

26 - Do you have any health problems? (Choose the worse condition for your answer)

  • None................................................................................................... 0
  • Excessive tiredness, depression........................................................  4
  • Frequent allergies...............................................................................  6
  • Infections, chronic inflammation (rheumatism, Crohn’s disease)........ 8
  • Cancer, AIDS, cardiovascular diseases, Parkinson’s, Alzheimer’s......10

 

Results

What is your risk of Oxidative Stress?


Add your points and check your score below.

If your score indicates a risk of oxidative stress, consider the following recommendations:

 

1 • Change certain unhealthy habits

Fill out the questionnaire again taking into account these lifestyle changes. Check if they are sufficient. For example, you can “save” three points by boiling or steaming instead of frying food.

 

2 • Take a course of Immun’Âge® following the indications below.

Please note that this 100% natural dietary supplement can be taken risk-free alongside other medication and has no contraindications. Immun’Âge® can be taken alongside vitamin A, C, E, Selenium or Omega 3 supplements.

 

1 • For results from 0 – 25

Your chances of suffering from Oxidative Stress are low.

 

2 • For results between 25 – 45

You are at low to medium risk of suffering from Oxidative Stress. Try changing your lifestyle and environment. We recommend you to take a dietary supplement as follows:

 

Assumption no.1: You feel “fit and well”.

We advise you to take one packet of Immun’Âge® per day for the first month, and then one packet per day for one month three times a year.

 

Assumption no.2: You feel tired or psychologically stressed; you feel the effects of age or you are ill.

We advise you to take two packets of Immun’Âge® per day for two weeks, and then one packet per day for one month. You should repeat this three times a year if you do not change your lifestyle.

 

3 • For results above 45

You are at high risk of suffering from Oxidative Stress. We recommend you to assess your antioxidant system (vitamins, minerals, antioxidant enzymes) and Oxidative Stress markers in order to take corrective actions on possible deficits or to fight Oxidative Stress with appropriate food supplements. We advise you to take three packets of Immun’Âge® per day for one week, then two packets per day for two weeks, and then two packets for one month. Repeat this three times a year if you do not change your lifestyle.

 

Please note that the different criteria in this questionnaire are not necessarily sources of oxidative stress on their own.

The objective of this questionnaire is to assess the different criteria which taken together could lead to oxidative stress.

This questionnaire is based on a collection of scientific publications that identify factors contributing to the production of free radicals in the body.

Excessive levels of free radicals trigger the onset of unhealthy oxidative stress.

Immun’Âge® is a dietary supplement made from Fermented Papaya. It is produced through a long fermentation process (8 - 10 months) under the ISO 9001 standard for production quality.

This unique patented process is the only way to endow fermented papaya with the properties required to boost our natural defense systems (antioxidative and immune systems) and thus fight the gradual onset of oxidative stress effectively.

 

Designed by Dr. Pierre Mantello
Director of the Osato Research Institute (O.R.I.)