I am year old male female white nonwhite My height is inches (NOTE!!! Only input inches: Eg. 5'8" = 68 inches) My weight is pounds I expect to have less than 10 10 to 11 more than 11 don't know years of education My family's total income for the past 12 months is dollars I expect that for most of my life I will be married not married don't know Compared to other people of the same age and sex as me, I am in the 1st (least fit) 2nd 3rd 4th 5th (fittest) don't know quintile of fitness(refer to Fitness Table) I do not do don't know have at least one first degree relative (parents, sibling, children) who has a history of heart diseases I do not do don't know have at least one first degree relative (parents, sibling, children) who has a history of prostate cancer I do not do don't know have at least one first degree relative (parents, sibling, children) who has a history of breast cancer I do not do don't know have at least one first degree relative (parents, sibling, children) who has a history of colorectal cancer I do not do don't know have at least one first degree relative (parents, sibling, children) who has a history of stomach cancer I do not do don't know have at least one first degree relative (parents, sibling, children) who has a history of lung cancer None One Two or more don't know of my first degree relative (parents, sibling, children) has a history of diabetes I do not do don't know have at least one first degree relative (parents, sibling, children) who has a history of stroke I reside in Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illnois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming don't know I have not have don't know been diagnosed with asthma I have not have don't know been diagnosed with diabetes My diastolic blood pressure (the smaller/bottom number- an average adult's is about 80) is mmHg I smoke cigarettes per day My spouse smokes cigarettes per day I have 0 or negligible less than 1 1 2 to 3 4 or more don't know drinks per day I travel thousand miles per year in an automobile The driver of the automobile which I most frequently travel in is a male female don't know The age of the driver of the automobile which I most frequently travel in is years I do not do don't know regularly wear seat belts when travelling in a automobile The automobile which I most frequently travel in does not does don't know regularly keep to speeds appropriate to road conditions The driver of the automobile which I most frequently travel in is sometimes never don't know drunk while driving Of the 10 things listed in the Stress List, of them happened to me in the past 12 months I am a sedentary person occasional exerciser conditioning exerciser don't know I work in the mining construction transportation/public utilities agriculture/forestry/fishing public administration manufacturing retail trade services wholesale trade finance/real estate all others don't know industry My father worked in a non-manual manual don't know job My first regular occupation is a non-manual manual don't know job My current occupation is a non-manual manual don't know job Of the 5 types of food in the Dietary Diversity List, on average I consume types more less don't know than 10% of my energy intake comes from fat I am not am don't know among the 15% most depressed of the population I have had sexual partners in the past 12 months For most of my sexual encounters, I do not do don't know use condoms On average, I have hours of sleep a day