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

Smoking Status
What is your smoking status?

How long ago since you quit smoking?
(years)

Alcohol Consumption
How often do you consume alcoholic beverages?

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?
Fruit juice:
Fruit:
Salad:
Potatoes:
Carrots:

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)?
hours

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)?
hours

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)
hours

Self-Perceived Stress
In the past year, would you say that most days were:


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?
years

What is the level of social support and wealth in your neighbourhood compare to the rest of your country

What is your education level?


Which of the following Conditions do you have?

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.)
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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