Keys: 0 = Do not consume or use; 1 = Consume or use 2 to 3 times monthly; 2 = Consume or use weekly; 3 = Consume or use daily
Diet
1. Alcohol
1
2. Artificial Sweeteners
2
3. Candy, desserts, refined sugar
3
4. Carbonated beverages
2
5. Chewing tobacco
0
Lifestyle
1. Exercise per week
1
2. Changed jobs
2
Medications
1. Antacid
0
