pH alkaline lifestyle changer


"OUTSMART YOUR AGING GENES"
Introduction to the Lifestyle Changer...Change Your Lifestyle...Change Your Life!

Please provide us with the following information to begin the Lifestyle Changer.
Name: Phone: E-Mail: Your location (city, state or country): *What is your Your Desired Result* for a lifestyle change?**
SELECT YOUR FAVORITE FOODS FROM THE CHART BELOW. (THIS CHART IS SPECIFICALLY DESIGNED.) ENTER '0' FOR NOT AT ALL ENTER '1' FOR DAILY ENTER '2' FOR TWO TIMES A WEEK ENTER '3' FOR TWO TO THREE TIMES A MONTH

Please provide us with the following information to begin the Lifestyle Changer.

SELECT YOUR FAVORITE FOODS FROM THE CHART BELOW. (THIS CHART IS SPECIFICALLY DESIGNED.)

ENTER '0' FOR NOT AT ALL

ENTER '1' FOR DAILY

ENTER '2' FOR TWO TIMES A WEEK

ENTER '3' FOR TWO TO THREE TIMES A MONTH

VEGETABLES	0 1 2 3 Asparagus 0 1 2 3 Alfalfa Sprouts 0 1 2 3 Barleygrass 0 1 2 3 Broccoli 0 1 2 3 Brusselsprouts 0 1 2 3 Cabbage 0 1 2 3 Carrots 0 1 2 3 Cauliflower 0 1 2 3 Celery 0 1 2 3 Chlorella 0 1 2 3 Collard Greens 0 1 2 3 Cucumber 0 1 2 3 Dandelion 0 1 2 3 Dulce 0 1 2 3 Edible Flower 0 1 2 3 Eggplant 0 1 2 3 Fermented or Pickled Veggies 0 1 2 3 Garlic 0 1 2 3 Kale 0 1 2 3 Kohlrabi 0 1 2 3 Lettuce 0 1 2 3 Mushrooms 0 1 2 3 Mustard Greens 0 1 2 3 Nightshade Veggies 0 1 2 3 Onions 0 1 2 3 Parsnips 0 1 2 3 Peas 0 1 2 3 Peppers 0 1 2 3 Pumpkin 0 1 2 3 Rutabaga 0 1 2 3 Spirulina 0 1 2 3 Squashes 0 1 2 3 Swiss Chard 0 1 2 3 Watercress Beets 0 1 2 3 Wheat Grass 0 1 2 3 Wild Greens
FRUITS	0 1 2 3 Apples 0 1 2 3 Apricot 0 1 2 3 Avocado 0 1 2 3 Banana 0 1 2 3 Berries - any kind 0 1 2 3 Cantalope 0 1 2 3 Cherries 0 1 2 3 Cranberries 0 1 2 3 Currants 0 1 2 3 Dates/Figs 0 1 2 3 Grapefruit 0 1 2 3 Grapes 0 1 2 3 Honeydew Melon 0 1 2 3 Lemon 0 1 2 3 Lime 0 1 2 3 Nectarine 0 1 2 3 Orange 0 1 2 3 Peach 0 1 2 3 Pears 0 1 2 3 Pineapple 0 1 2 3 Tangerine 0 1 2 3 Tomato 0 1 2 3 Tropical fruits (Papaya, Guava, Gojiberry, etc.) 0 1 2 3 Watermelon
GRAINS	0 1 2 3 Amaranth 0 1 2 3 Barley 0 1 2 3 Buckwheat 0 1 2 3 Corn 0 1 2 3 Hempseed Flour 0 1 2 3 Kamut 0 1 2 3 Oats 0 1 2 3 Quinoa 0 1 2 3 Rice 0 1 2 3 Rice Cakes 0 1 2 3 Rye 0 1 2 3 Spelt 0 1 2 3 Wheat 0 1 2 3 Wheat Cakes
NUTS/SEEDS	0 1 2 3 Almonds 0 1 2 3 Brazil nuts 0 1 2 3 Cashews 0 1 2 3 Chestnuts 0 1 2 3 Flaxseeds 0 1 2 3 Millet 0 1 2 3 Peanut Butter 0 1 2 3 Peanuts 0 1 2 3 Pecans 0 1 2 3 Pumpkin Seeds 0 1 2 3 Sprouted Seeds 0 1 2 3 Squash Seeds 0 1 2 3 Sunflower Seeds 0 1 2 3 Tahini 0 1 2 3 Tempeh 0 1 2 3 Tofu Fermented 0 1 2 3 Walnuts
BEANS/LEGUMES	0 1 2 3 Black Beans 0 1 2 3 Chickpeas 0 1 2 3 Green Beans 0 1 2 3 Kidney Beans 0 1 2 3 Lentils 0 1 2 3 Lima Beans 0 1 2 3 Pinto Beans 0 1 2 3 Red Beans 0 1 2 3 Soy Beans 0 1 2 3 White Beans
PROTEIN - ANIMAL/FISH	0 1 2 3 Beef - steaks, etc. 0 1 2 3 Chicken 0 1 2 3 Eggs 0 1 2 3 Fish - all other 0 1 2 3 Lamb 0 1 2 3 Pork 0 1 2 3 Salmon 0 1 2 3 Shellfish - shrimp, lobster, oysters, etc. 0 1 2 3 Tuna 0 1 2 3 Turkey 0 1 2 3 Whey Protein 0 1 2 3 Wild Game - buffalo, rabbit, venison, etc.
DAIRY	0 1 2 3 Butter 0 1 2 3 Cheese - Cow 0 1 2 3 Cheese - processed 0 1 2 3 Cheese - Goat 0 1 2 3 Cottage Cheese 0 1 2 3 Milk - pasteurized 0 1 2 3 Organic Milk 0 1 2 3 Yogurt
BEVERAGES	0 1 2 3 Alkaline Water 0 1 2 3 Almond Milk 0 1 2 3 Banchi Tea 0 1 2 3 Black Tea - hot/cold 0 1 2 3 Coffee 0 1 2 3 Dandelion Tea 0 1 2 3 Energy/Vitamin water 0 1 2 3 Fruit Juices - pasteurized 0 1 2 3 Fruit Juices - homemade 0 1 2 3 Ginseng Tea 0 1 2 3 Green Juices - pasteurized 0 1 2 3 Green Tea - any 0 1 2 3 Herbal Tea 0 1 2 3 Kombucha 0 1 2 3 Mineral Water 0 1 2 3 Yogurt/Probiotic Culture drinks 0 1 2 3 Red Tea 0 1 2 3 Rice Milk 0 1 2 3 Soda - diet 0 1 2 3 Soda - regular 0 1 2 3 Soy Milk 0 1 2 3 Vegetable Juices - pasteurized 0 1 2 3 Vegetable Juices - homemade 0 1 2 3 White Tea
FATS & OILS	0 1 2 3 Avocado Oil 0 1 2 3 Canola Oil 0 1 2 3 Corn Oil 0 1 2 3 Flax Oil 0 1 2 3 Grapeseed Oil 0 1 2 3 Hempseed Oil 0 1 2 3 Lard 0 1 2 3 Olive Oil 0 1 2 3 Safflower Oil 0 1 2 3 Sesame Oil 0 1 2 3 Sunflower Oil
ORIENTAL VEGGIES	0 1 2 3 Daikon Mushroom 0 1 2 3 Dandelion Root 0 1 2 3 Kombu 0 1 2 3 Maitake Mushrooms 0 1 2 3 Nori 0 1 2 3 Reishi Mushroom 0 1 2 3 Seaweed 0 1 2 3 Shitake 0 1 2 3 Umeboshi 0 1 2 3 Wakame
SPICES/SEASONINGS	0 1 2 3 All Herbs 0 1 2 3 Basil 0 1 2 3 Bee Pollen 0 1 2 3 Chili Pepper 0 1 2 3 Cinnamon 0 1 2 3 Clove 0 1 2 3 Cumin 0 1 2 3 Curry 0 1 2 3 Fennel 0 1 2 3 Ginger 0 1 2 3 Himalayan Salt 0 1 2 3 Lecithin Granules 0 1 2 3 Mustard 0 1 2 3 Oregano 0 1 2 3 Parsnip 0 1 2 3 Pepper - all colors 0 1 2 3 Rosemary 0 1 2 3 Safron 0 1 2 3 Sage 0 1 2 3 Sea Salt 0 1 2 3 Tamari 0 1 2 3 Tyme 0 1 2 3 Turmeric
OTHER	0 1 2 3 Vinegar - any table
SWEETENER	0 1 2 3 Honey 0 1 2 3 Organic Non-Pasteurized Honey 0 1 2 3 Organic Whole Cane Sugar 0 1 2 3 Other artificial sweetener 0 1 2 3 Stevia 0 1 2 3 White or Brown (refined) Sugar
FAST FOODS	0 1 2 3 Arby's 0 1 2 3 Burger King 0 1 2 3 Carl's Jr 0 1 2 3 Chick Filet 0 1 2 3 Del Taco 0 1 2 3 Dominos 0 1 2 3 El Pollo Loco 0 1 2 3 In and Out Burger 0 1 2 3 Kentucky Fried Chicken 0 1 2 3 Long John Silver's 0 1 2 3 McDonald's 0 1 2 3 Other - any other fast food chain not listed 0 1 2 3 Pizza Hut 0 1 2 3 Popeye's 0 1 2 3 Taco Bell 0 1 2 3 What A Burger 0 1 2 3 Wendy's
PROCESSED FOODS	0 1 2 3 Cakes / Pies / Pastries 0 1 2 3 Candy 0 1 2 3 Candy Bars 0 1 2 3 Chips - potato or any other 0 1 2 3 Chocolate - dark, milk, white 0 1 2 3 Cookies 0 1 2 3 Frozen Dinners/Meals 0 1 2 3 Hot Dogs or other processed meats 0 1 2 3 Popcorn
DRUGS, ALCOHOL, AND SMOKING	0 1 2 3 Drugs - Prescription (including Marijuana) 0 1 2 3 Drugs Psychedelic/Recreational, Marijuana or other 0 1 2 3 Beer 0 1 2 3 Hard Liquor 0 1 2 3 Wine 0 1 2 3 Cigarettes and/or Cigars
List any food items not listed above that you consume more than three to four times a week.
MOVEMENT List the Top 3 Activities that you had the most fun doing as a kid in the form of Action and Movement. Most Favorite Next Favorite Last Favorite Please tell us if you have any food allergies or conditions that limit certain foods in your diet as well as any restrictions that you may have in the form of movement. What is your preferred method of contact?
Thank you! I will be in touch with you within 48 (forty eight) hours.
Desired Results are dependent on client's commitment and adherence to their customized Lifestyle Changer. Lifestyle Changer is not a substitute for medical advice, diagnosis, or treatment. Please consult a physician prior to starting the Lifestyle Changer.
copyright © 2010 Puregressive Lifestyles

"OUTSMART YOUR AGING GENES"

Introduction to the Lifestyle Changer...Change Your Lifestyle...Change Your Life!

Please provide us with the following information to begin the Lifestyle Changer.

SELECT YOUR FAVORITE FOODS FROM THE CHART BELOW. (THIS CHART IS SPECIFICALLY DESIGNED.)

ENTER '0' FOR NOT AT ALL

ENTER '1' FOR DAILY

ENTER '2' FOR TWO TIMES A WEEK

ENTER '3' FOR TWO TO THREE TIMES A MONTH

Thank you! I will be in touch with you within 48 (forty eight) hours.