Living Habits (3 points)

Status :    Release Date : 2009-11-02 13:19:29   IP: iPanel    Publisher: iPanel

这是一个面向广大会员的信息征求,您的选择将给我们很多有意义的参考

Q1、What is your gender?[Single choice]

Male Female

Q2、Education[Single choice]

No formal education Primary Junior high school
Senior high school University Master degree
Doctor degree

Q3、Are you smoking?[Single choice]

Yes No

Q4、How often do you smoke?[Single choice]

Every day Every half week Every week
More less Depend on the situation No smocking

Q5、How many cigarettes do you smoke a day?[Single choice]

None About a quarter pack of cigarettes About a half pack of cigarettes
About a pack of cigarettes About two packs of cigarettes More

Q6、Are you drinking?[Single choice]

Yes No

Q7、How often do you drink?[Single choice]

Every day Every half week Every week
More less Depend on the situation No drinking

Q8、Which kind of wine do you drink?[Single choice]

Beer White wine Red wine
Whisky Gin Vodka
Rum Tequila Brandy
Others

Q9、How many glasses of beer do you drink every time?[Single choice]

None A glass of beer 2 - 3 glasses of beer
4 - 5 glasses of beer More

Q10、Do you fmaily members have these diseases as following?[Single choice]

AIDS Hyperacidity Allergy
Alzheimer's disease Anemia Anxiety
Rheumatic arthritis Asthma Inability to concentrate attention / hyperactivity disorder
Autism Back problems Bipolar
Birth Defects Encephaloma Breast Cancer
Brain Cancer Colorectal Cancer Liver Cancer
Lung Cancer Oral Cancer Ovarian Cancer
Pancreatic Prostate Cancer Skin Cancer
Gastric Testicular cancer Other types of cancer
Chronic Fatigue Syndrome COPD Chronic Pain
Cyst Fibrosis Depression Diabetes - type 1
Diabetes - type 2 Dyslexia Eating disorders
Eczema Emphysema Endometriosis
Epilepsy Erectile Dysfunction / Impotence Fibromyalgia syndrome
Headache Heart disease Listening disease (deafness, tinnitus, etc.)
Hepatitis Herpes Hypertension
Cholesterol Hypoglycemia IBS (Irritable Bowel Syndrome)
Kidney disease Leukemia / Bone Marrow Lupus
Arthritis Lymphoma ID
Migraine MS Obesity
Obsessive-compulsive disorder Onychomycosis (nail Gray) Osteoarthritis
Osteoporosis and bone disease Parkinson's disease Disability
Prostate Disease Psoriasis Spine protruding
(Chronic obstructive pulmonary disease) feel suffocated SIDS (sudden infant death syndrome) Vision and hearing impairment
Sinus disease Insomnia Spondylitis
Thyroid Disease Digestive diseases Vision diseases (blindness, glaucoma, etc.)
Others None