Welcome to the Lifestyle Survey



This poll is designed to analyze your answers and assign you a lifestyle index. Are you living your life to the extreme? Breezing through it? Taking every chance possible, hating it or not caring about it?

Questions	Answers
What is your name?
What is your gender?	Male Female
How old are you?	0 - 12 13 - 18 19 - 25 26 - 45 46 - 60 61+
Type in your weight (in pounds)
Please check all the activities that you have took part in the past 30 days	Smoking Drinking Sex Exercise Watch Television for over two hours in one sitting Talk on a cell phone
How much sleep do you get on average?	0 - 4 4 - 8 8+
Any conditions worth mentioning?	Tell me your conditions!

WARNING: SURVEY MAY NOT DEPICT ACTUAL LIFESTYLE TYPES AND MUST NOT BE USED AS A FIRST RESOURCE FOR DETERMINING HEALTH RISKS.