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Know Your True Age
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17
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1
Name
*
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Please share your name?
Mr.
Miss.
Mrs.
Mr.
Mr.
Miss.
Mrs.
Prefix
First Name
Last Name
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2
What's your body mass index (BMI)? (Calculate it at
health.com/BMI
.)
*
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18 to 21
22 to 24
25 to 30
>30
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3
answer-1
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4
How much alcohol do you drink?
Two or three drinks a week
Two or three drinks a month
About one drink a day
Two or more drinks a day
None
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5
Answer-2
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6
When you get stressed out, you:
Lace-up your sneakers
Take a few deep breaths and keep going
Reach for chocolates
Do nothing
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7
Answer-3
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8
How often do you eat red meat?
Every day
One to three times a week
Once or twice a month
Never
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9
Answer-4
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10
Share Your age with us
*
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11
Your highest level of education is:
High school
Post Grad. college
College
Grad school
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12
Answer-5
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13
If you were in a personal crisis, how many people would help out, even if just to drop off a casserole?
Maybe 10
Tons—I have a huge support network
A small group of friends and family
I'd probably go it alone
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14
Answer-6
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15
Please share your email id with us.
*
This field is required.
example@example.com
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16
How involved are you in the community at large?
I'm involved with an NGO, neighbourhood committee, social welfare
I volunteer regularly
I pitch in once or twice a year
I write a check now and then
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17
Answer-7
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18
How many times a week do you get 30 minutes of moderate to vigorous exercise?
Every day
Four or five
One to three
Does channel surfing count?
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19
Answer-8
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20
What's your history with smoking?
I've never been a smoker
I might sneak in a cig on weekends
I've quit and I feel much better
I've quit but I still have problems with my lungs
I'm a regular smoker
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21
Answer-9
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22
Which meal best reflects your regular menu?
Fried food and dessert
Vegetarian
Fish
Chicken and a side salad
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23
Answer-10
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24
Do you drink coffee?
Gotta have my two or three cups daily
I practically live at Starbucks
One morning mug
I'm not a fan
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25
Answer-11
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26
How is your sleep?
I score six to seven hours nightly
I like 8 to 10 hours if I can get it
I squeeze in four to six hours
I only get a couple of hours
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27
Answer-12
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28
Did any of your relatives live to age 95?
At least one person in my family
I'm not sure
Nope
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29
Answer-13
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30
Total
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31
Your real age is
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