1.	Do you smoke? Yes, 20 or more a day Yes, just a few a day. No, but I did years ago. No, I've never smoked.
2.	How often do you visit your GP? Once or twice a year. Three or four times a year. Six or more times a year. Never
3.	What do you usually eat for breakfast? Healthy (eg. cereal, porridge, toast and spread/jam) Just fruit or juice Fry up Don't eat breakfast
4.	Does your exercise regime consist of: A regular routine of at least 30 minutes, three times a week. A weekly visit to the gym or run in the park Running for a bus and dashing to the shops I don't have time for an exercise regime
5.	How many helpings of fruit and vegetables do you have each day? (One helping is about a handful or a glass of juice.) Five portions or more Three or four portions Less than three portions I rarely eat fruit and vegetables
6.	How under pressure are you? Overburdened, but managing Busy most of the time I get time to think and reflect Overburdened and not coping