Empirica Survey Step 1 of 3 33% Personal InformationName First Last Email Part 1Diet Key: 0 = Do not consume or use; 2 = Consume or use 2 to 3 times monthly; 2 = Consume or use weekly; 3 = Consume or use dailyAlcohol* Never 2-to-3 times monthly Daily Artificial Sweeteners* Never 2-to-3 times monthly Daily Candy, desserts, refined sugar* Never 2-to-3 times monthly Daily Carbonated beverages* Never 2-to-3 times monthly Daily Chewing tobacco* Never 2-to-3 times monthly Daily Cigarettes* Never 2-to-3 times monthly Daily Cigars/pipes* Never 2-to-3 times monthly Daily Caffeinated beverages* Never 2-to-3 times monthly Daily Fast foods* Never 2-to-3 times monthly Daily Fried foods* Never 2-to-3 times monthly Daily Luncheon meats* Never 2-to-3 times monthly Daily Margarine* Never 2-to-3 times monthly Daily Milk products* Never 2-to-3 times monthly Daily Radiation exposure* No Yes Refined flour/baked goods* Never 2-to-3 times monthly Daily Vitamins and minerals* Never 2-to-3 times monthly Daily Water, distilled* Never 2-to-3 times monthly Daily Water, tap* Never 2-to-3 times monthly Daily Water, well* Never 2-to-3 times monthly Daily Diet for weight control* Never 2-to-3 times monthly Daily LifestyleExercise per week* 2x+ a week 1x a week 1x-2x a month never, less than once a month