| Today,
as compared with 10 years ago . . . |
| 1. Do you
often feel tired? |
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| 2. Do you feel
happy most of the time? |
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| 3. Do you often
go through mood swings? |
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| 4. Do you anger
easily? |
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| 5. Are you depressed
often? |
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| 6. Do you often
feel anxious or stressed out? |
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| 7. Do you feel
you work too hard? |
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| 8. Do you look
forward to retirement (not to pursue an activity but to do less?) |
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| 9. Do you keep
in touch with friends? |
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| 10. Do you maintain
an interest in sex? |
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| 11. Is your
sex life declining? |
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| 12. Do you have
trouble staying or falling asleep? |
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| 13. Do you feel
rested after sleep? |
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| 14. Do you find
yourself forgetting things? |
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| 15. Do you find
it harder to think clearly? |
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| 16. Do you use
memory aids (lists, etc.)? |
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| 17. Do you have
problems concentrating? |
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| 18. Are you
in poor physical shape? |
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| 19. Are you
more than 20% above your ideal weight? |
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| 20. Is it difficult
for you to lose weight? |
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| 21. Have you
developed a spare tire or love handles? |
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| 22. Does your
musculature look youthful? |
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| 23. Do you feel
your overall health is good? |
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| 24. Do you often
get colds or feel sick? |
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| 25. Do you commonly
feel aches or pain? |
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| 26. Is your
blood cholesterol over 200? |
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| 27. Is your
blood cholesterol over 240? |
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28. Men - Is
your HDL less than 45?
Women - Is your HDL less than
55? |
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| 29. Is your
blood pressure normal? |
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| 30. Has your
vision noticeably deteriorated? |
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| 31. Do you have
frequent urination? |
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| 32. Do you have
digestive problems? |
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| 33. Does the
skin on your face, neck, upper arms, and abdomen appear to hang? |
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| 34. Do you look
older than others your age? |
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| 35. Do you have
cellulite on your thighs? |
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| 36. Do you need
haircuts less frequently? |
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| 37. Does it
take a long time for cuts and bruises to heal? |
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| 38. Is it getting
harder to exercise? |
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| 39. Do you seem
to have less strength for gripping or lifting? |
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| 40. Is your
endurance less? |
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| 41. Is your
breathing more labored when you exercise hard? |
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| 42. Do you find
the longer you live, the better you feel about life? |
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| 43. Are you
between the age of 45 and 54? |
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| 44. Are you
between the age of 55 and 64? |
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| 45. Are you
65 or above? |
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