How much alcohol
do you drink?
1
2
3
4
5
Drink too much
Drink moderately
I don't drink
How heavily do
you smoke?
1
2
3
4
5
Smoke too much
Smoke moderately
I don't smoke
How well do you eat?
1
2
3
4
5
Eat very badly
Have treats
Balanced diet
How often are you active
during the week?
1
2
3
4
5
Not at all active
Moderately active
Extremely active