1. What is your gender?



2. Do you have cancer in your family?

A) Yes

B) No

C) Unknown

3. Are you overweight? (Be honest.)

A) Yes

B) No

C) Somewhat

4. Do you smoke cigarettes?

A) Yes

B) No

C) Occasionally

5. How many fruits do you eat in a day?

A) 1-3

B) 3-6

C) 6 or more.

D) None

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