I eat animal protein (meat of any kind, dairy, cheese, eggs) more than 5 times a week

I eat more than 1–2 foods a week with hydrogenated fats (margarine, shortening, processed or packaged foods)

I have servings of animal protein greater than 4–6 ounces (the size of the palm of your hand) at a meal

I eat less than 1 cup of dark-green leafy vegetables a day

I eat fewer than 5–9 servings (1/2 cup = 1 serving) of fruits and vegetables a day

I have more than 3 alcoholic drinks a week.

I have a poor mood.

I have a history of a heart attack or other heart disease.

I have a history of stroke.

I have a history of cancer (especially colon, cervix, breast).

I have a history of abnormal PAP test (cervical dysplasia).

I have a history of birth defects in offspring (neural tube defects or Down syndrome).

I have a history of dementia.

I have a loss of balance or sensation in feet.

I have a history of multiple sclerosis or other diseases with nerve damage.

I have a history of carpal tunnel syndrome.

I do not take a multivitamin.

I am over 65-years old.