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* 1. In general, how would you rate your overall health?

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* 2. What is your height in feet and inches and/or meters and centimeters? For example, if you are 5 feet and 4 inches, write 5’4” or 162.56 centimeters.

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* 3. What is your current weight in pounds or kilograms?

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* 4. Do you currently smoke cigarettes, or not?

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* 5. About how many alcoholic drinks do you have each week?

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* 6. How many hours do you sleep each night?

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i We adjusted the number you entered based on the slider’s scale.

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* 7. About how many times in the average week do you engage in 30 minutes of light activity (i.e. leisurely walking, gardening, cleaning around the house)?

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* 8. About how many times in the average week do you engage in 30 minutes of moderate activity (i.e. brisk walking, light bicycling)?

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* 9. About how many times in the average week do you engage in 30 minutes of strenuous activity (i.e. running or jogging)?

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* 10. How often do you want to talk face to face (online)?

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