1. How old are you?
  2. Your short term memory is:
  3. How many colds have you gotten in the past year?
  4. You are:
  5. How often do you get 30 minutes cardio exercise (walking, running, aerobics, etc) each week?
  6. How many servings of fruit and vegetables do you eat each day?
  7. How would you describe your energy level?
  8. Do you smoke?
  9. Do you feel like you have friends or family members who support you?
  10. How often are you upset or angry?