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Health Questionnaire
Questions about health habits
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How old are you?
Choose
under 20
20-40
41-60
61-80
over 81
How long do you exercise in a week?
less than 1 hour.
1-3 hours
4-6 hours
more than 6 hours
Clear selection
What's your blood type?
A
O
B
AB
In Japan, it is believed that blood types can your determine characteristics. Do you think so?
Choose
Yes, I do.
No, I don't.
How often do you eat breakfast?
everyday
sometimes
never
Which food do you prefer?
meat
fish
vegetables
other
Clear selection
How many portions of fruit and vegetable do you eat a day?
1
2
3
4
5
6 or more
Clear selection
Submit
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