What would you like us to calculate for you?
Age:     (between 20 and 79 years)
Height: cm   or  
Weight: kg   or   pounds

Smoking Status
What is your smoking status?

How long ago since you quit smoking?

Alcohol Consumption
How often do you consume alcoholic beverages?

How many drinks did you have in the past week?
(0 to 100)

What is the most number of drinks you had on any one day in the past week?
(0 to 20)

How often in the past 12 months have you had 5 or more drinks on one occasion?

Fruit & Vegetable Diet
How many times did you have each of the following in the past week?
Fruit juice: (0 to 70)
Fruit: (0 to 70)
Salad: (0 to 70)
Potatoes: (0 to 70)
Carrots: (0 to 70)
Other vegetables: (0 to 70)

Leisure Physical Activity
How much time did you spend jogging or running in the past week?
(0 to 35) hours

How much time did you spend playing ice hockey, soccer, basketball, volleyball, or rollerblading in the past week?
(0 to 35) hours

How much time in the past week did you spend doing other leisure activities? (i.e. walking, cycling, gardening, exercising, golfing, bowling, skating, fishing, baseball, tennis etc.)
(0 to 35) hours

Self-Perceived Stress
Thinking about the amount of stress in your life, would you say that most days are:

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 your Household Income?

Which of the following Conditions do you have?

Does illness limit your ability to participate in activities?
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?
Event name:   (e.g. Your child's or grandchild's wedding)
Event year:     (YYYY - e.g. 2019)

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