Future Hospital Use
About Project Big Life
What would you like us to calculate for you?
Future Hospital Use
(between 20 and 79 years)
What is your smoking status?
Current heavy smoker (a pack or more a day)
Current light smoker (less than a pack a day)
Former heavy smoker (a pack or more a day)
Former light smoker (less than a pack a day)
How long ago since you quit smoking?
How often do you consume alcoholic beverages?
1 or more times per month
Less than once per month
None at all in previous year
How many drinks did you have in the past week?
On a typical week, do you have 5 or more drinks on one occasion?
Fruit & Vegetable Diet
How many times did you have each of the following in the past week?
How many servings of other vegetables did you have the past week? (Excluding Potatoes, Carrots, and Salad)
Leisure Physical Activity
In the past week, how much time did you spend doing vigorous-intensity physical activity (e.g., running)?
In the past week, how much time did you spend doing moderate-intensity physical activity (e.g. rollerblading) or sports that are vigorous but not continuous intensity (e.g., ice hockey, soccer, basketball, volleyball)?
In the past week, how much time did you spend doing light-intensity physical activities? (e.g., walking, cycling, gardening, exercise class, golfing, bowling, skating, fishing, baseball, tennis)
In the past year, would you say that most days were:
At most, a bit stressful
Quite a bit or extremely stressful
In which country do you live?
Postal Code (Optional):
(e.g. K1Y 4E9) Postal code is used to adjust for geographic variations
Did you immigrate to Canada?
How long ago did you immigrate to Canada?
What is the level of social support and wealth in your neighbourhood compare to the rest of your country
What is your education level?
Less than high school
High school graduate
Post secondary graduate
DISEASES AND IMMOBILITY
Which of the following Conditions do you have?
None of the above
Does illness limit the kind of activity you can do at home, school, work, or leisure?
Because of illness, do you need the help when performing basic tasks? (e.g., running errands, household chores, personal care, etc.)
Will you live to see it? (Optional)
Provide this information if you would like to see the probability of living until a future event of your choice.
For example, will I live to see
- the Toronto Maple Leafs win the Stanley Cup?
- my grandchild get married?
- my grandchild's graduation?
- my retirement?
- my 100th birthday?
(e.g. Your child's or grandchild's wedding)
(YYYY - e.g. 2019)
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