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 40,000 km (or 24,000 miles) 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 $60,000 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 promise to read and pass on groaner Joe-ks? Fat chance Only when pigs fly NO! Now stop this diatribe! Too much time on your hands YES! And here's $3,000 for you, Joe! Shirley you're Joe-king?