Questionnaire

Hover your cursor over the title of the question for more information. Some questions allow you to qualify your answers with a second drop-down-box.

When were you born?

   

Your DOB has a profound influence on your DOD.

Sex?

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The killers (1) Smoking

On average how many cigarettes do you smoke a day?

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The killers (2) Location Location Location

Select the statement that best describes your location

The killers (3) Transport

Do you travel in a vehicle with less than 4 wheels, or with wings?

The killers (4) Lifestyle

In which of the following do you engage?

 Social Drinking.  Anti-Social Drinking.
 Recreational Drugs.  Non-Recreational Drugs.
 Safe Sex.  Unsafe Sex.
 Motor Sports.  Non-Motor Sports.
 Glue Sniffing.  Super-Glue Sniffing.
 Binge Eating.  Minge Eating.

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