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

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* 2. For what reasons do you want to undertake a health kick

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* 3. How many kilograms would you like to lose?

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* 4. 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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* 5. 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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* 6. 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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* 7. 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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* 8. Choose one of the below to describe how you eat

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* 9. Enter your name, email and postcode below to be included in our weekly Starts at 60 health kick emailer packed with tips and ideas

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* 10. If we created a proper exercise and diet program online specifically for over-60s would you pay a monthly fee for it if it was "great"?

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