Are you female?
Yes
No
Did any of your grandparents live to age 85?
Yes
No
Did all your grandparents reach age 80?
Yes
No
Did either of your parents die of cardiovascular disease before age 50?
Yes
No
Did any of your parents or siblings either have/had cancer, heart condition or juvenile diabetes before age 50?
Yes
No
When you exercise, do you exercise at moderate intensity (aerobically) for at least 30 minutes?
Yes
No
How many cigarettes do you smoke a day?
0
1 - 4
5 - 9
10 - 14
15 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
More than 50
Do you eat fresh fruit and vegetables?
Every day
Most days
Occasionally
Rarely
Do you eat a healthy breakfast (cereal, toast or fruit)?
Every day
Most days
Occasionally
Rarely
Do you have high blood pressure?
Yes
No
Do you have elevated cholesterol?
Yes
No
Do you drink more than 6 standard alcoholic drinks per day?
Yes
No
Do you drive more than 24,000 miles (or 40,000 km) a year?
Yes
No
Did you receive a speeding ticket in the past year?
Yes
No
Your age?
Under 30
30 - 50
50 - 60
60 -70
Over 70
Do you either sleep less than 5 hours or more than 10 hours a night?
Yes
No
Do you live in an urban area?
Yes
No
Do you live in a rural area?
Yes
No
Do you you work at a desk?
Yes
No
Are you physically active?
Yes
No
Do you plan to work past the age of 60?
Yes
No
Did you complete high school?
Yes
No
Do you have a university degree?
Yes
No
Are you:
Intense and easily angered
Half way
Easy going and relaxed
Do you earn more than $80,000 a year?
Yes
No
Do you live alone?
Yes
No
Rate yourself on how much pleasure you get from:
Family
Lot
Little
None
Work
Lot
Little
None
Friends
Lot
Little
None
Love life
Lot
Little
None
Where you live
Lot
Little
None
Do you expect to live a long and healthy life?
Yes
No
Do you have a pet?
Yes
No
Do you mention BostonApartments.com in conversation?
Never
Only when asked
Maybe if the timing is right
I tell everyone!