(excess facial hair or on the thighs)? (Women only)
18 Dry, flaky skin?
19 An earlobe crease in each ear?
20 Postural hypotension (your blood pressure drops when you stand up)?
21 Arcus senilis in your eyes? (This is a marking in the coloured part of the eye, the iris, where there is a white circle within the circumference, usually at the top of the iris under the eyelid (11 to 1 o’clock), but sometimes in the lower part too (4–8 o’clock), and sometimes around the whole iris)
Score out of 21 (women) =
Score out of 20 (men) =
Part three – Diet
Scoring this part of the questionnaire
Each ‘yes’ answer scores one point. Please note that if you smoke more than 15 cigarettes a day, then you score one point three times for the smoking-related questions. The same principle applies to the alcohol, water intake and vegetable intake questions.
Do you now or have you ever in the past:
1 Eat refined carbohydrates (e.g. white bread, white rice, sugar)?
2 Eat hidden sugars in foods or drinks?
3 Regularly eat large meals?
4 Smoke more than 15 cigarettes a day?
5 Smoke more than 8 cigarettes a day?
6 Smoke cigarettes every day or more than 10 a week?
7 Drink caffeinated drinks (with or without sugar) (e.g. coffee or cola drinks)?
8 Drink more than four cups of tea a day (with or without sugar)?
9 Drink more than 2 units/glasses of alcohol a day?
10 Drink more than 4 units/glasses of alcohol a day?
11 Eat fried food more than once a week?
12 Eat barbecued food more than once a month?
13 Eat processed foods regularly, including microwave or oven meals?
14 Eat protein foods (e.g. fish, white meats, eggs, meats) less than 3 times a week?
15 Are you a vegan (no meat or dairy products)?
16 Drink more than two glasses of fruit or vegetable juice a day?
17 Seldom eat oily fish, nuts and seeds? (see chapter 6)
18 Eat less than one portion of fresh vegetables a day?
19 Eat less than two portions of fresh vegetables a day?
20 Eat two meals a day or less?
21 Eat just one meal a day?
22 Drink less than three glasses of water a day?
23 Drink less than five glasses of water a day?
24 Drink less than eight glasses of water a day?
Score out of 24 =
Part four – lifestyle and exercise
Scoring this part of the questionnaire
Each ‘yes’ answer scores one point, except where indicated with regard to frequency of exercise. Exercise in this context means anything in which you are physically moving for at least 20 minutes at a time, be it aerobic, stretching or resistance work.
Are you now or have you ever in the past:
1 Regularly stressed or anxious?
2 A poor sleeper?
3 Always chasing appointments or deadlines?
4 Unable to relax without feeling guilty?
5 A person who has a persistent need for achievement?
6 Easily angered?
7 A sedentary person (e.g. office worker)?
8 A person who does anaerobic (e.g. weights only) and no aerobic exercise?
9 A person who exercises 3–4 times a week (score 1)?
10 A person who exercises 1–2 times a week (score 2)?
11 A person who exercises less than once a week (score 3)?
12 A very competitive person?
13 Irritable and impatient?
Score out of 16 =
Part five – Blood test results
Scoring this part of the questionnaire
Read through this section and answer any questions for which you have blood test results. Skip this section if you have not had a blood test done.
Do you currently have any of the following?
1 High fasting insulin
2 High fasting triglycerides
3 High triglycerides after a meal
4 Decreased HDL (good) cholesterol
5 Elevated LDL (bad) cholesterol
6 Elevated total cholesterol
7 Elevated systolic blood pressure (your first figure is over 139)
8 Elevated diastolic blood pressure (your second figure is over 89)
9 Elevated fibrinogen
10 Elevated PAI-1 (plasminogen activator inhibitor-1)
11 High uric acid (or gout)
12 Low Serum or Salivary DHEA (DHEA may have an inverse relationship with Cortisol and insulin)
13 Elevated testosterone in women (acute hyperinsulinemia increases testosterone blood levels and suppresses
