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  2. 2013
  3. March
  4. G
  5. Global Health and Daily Habits
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What is your date of birth?
 
 
 
What is your gender?
 
Female
 
Male
 
 
 
What is your current weight?
   
 
 
 
What is your current height?
   
 
 
 
How often do you exercise?
 
5-7 times a week
 
3-4 times a week
 
1-2 times a week
 
Not at all
 
 
 
How many hours on average do you sleep?
   
 
 
 
Do you smoke?
   
 
 
 
If so, how many packs a day?
   
 
 
 
If so, for how many years?