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Future Health Care Costs
Stroke Risk
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What would you like us to calculate for you?
Life Expectancy
Future Health Care Costs
Stroke Risk
If you live in Canada, provide your postal code to see the effect of air pollution on your health.
ABOUT YOU
Age:
(between 20 and 79 years)
Sex
Male
Female
Height:
cm
or
1'
2'
3'
4'
5'
6'
7'
0"
1"
2"
3"
4"
5"
6"
7"
8"
9"
10"
11"
Weight:
kg
or
pounds
HEALTH BEHAVIOURS
Smoking Status
What is your smoking status?
Current heavy smoker (a pack or more a day)
Current light smoker (less than a pack a day)
Former heavy smoker (a pack or more a day)
Former light smoker (less than a pack a day)
Never smoker
How long ago since you quit smoking?
(years)
Alcohol Consumption
How often do you consume alcoholic beverages?
1 or more times per month
Less than once per month
None at all in previous year
How many drinks did you have in the past week?
On a typical week, do you have 5 or more drinks on one occasion?
Yes
No
Fruit & Vegetable Diet
How many times did you have each of the following in the past week?
Fruit juice:
Fruit:
Salad:
Potatoes:
Carrots:
How many servings of other vegetables did you have the past week? (Excluding Potatoes, Carrots, and Salad)
Leisure Physical Activity
In the past week, how much time did you spend doing vigorous-intensity physical activity (e.g., running)?
hours
In the past week, how much time did you spend doing moderate-intensity physical activity (e.g. rollerblading) or sports that are vigorous but not continuous intensity (e.g., ice hockey, soccer, basketball, volleyball)?
hours
In the past week, how much time did you spend doing light-intensity physical activities? (e.g., walking, cycling, gardening, exercise class, golfing, bowling, skating, fishing, baseball, tennis)
hours
Self-Perceived Stress
In the past year, would you say that most days were:
At most, a bit stressful
Quite a bit or extremely stressful
SOCIODEMOGRAPHIC
In which country do you live?
Canada
Other country
Postal Code (Optional):
(e.g. K1Y 4E9) Postal code is used to adjust for geographic variations including pollution levels
Did you immigrate to Canada?
Yes
No
How long ago did you immigrate to Canada?
years
What is the level of social support and wealth in your neighbourhood compare to the rest of your country
Above average
Average
Below average
What is your education level?
Less than high school
High school graduate
Post secondary graduate
What best describes your household income?
0 to 29,999
30,000 to 79,999
80,000 or more
Is your residence owned by a household member?
Yes
No
What is your marital status?
Widowed / Separated / Single
Married / Common-Law
DISEASES AND IMMOBILITY
Which of the following Conditions do you have?
Diabetes
Heart disease
Previous stroke
Hypertension
Dementia
Cancer
None of the above
Does illness limit the kind of activity you can do at home, school, work, or leisure?
Yes
No
Because of illness, do you need the help when performing basic tasks? (e.g., running errands, household chores, personal care, etc.)
Yes
No
Will you live to see it? (Optional)
Provide this information if you would like to see the probability of living until a future event of your choice.
For example, will I live to see
- the Toronto Maple Leafs win the Stanley Cup?
- my grandchild get married?
- my grandchild's graduation?
- my retirement?
- my 100th birthday?
Event name:
(e.g. Your child's or grandchild's wedding)
Event year:
(YYYY - e.g. 2019)
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