Education
Less then Highschool
Highschool
Some College
College

Family Questions
Family members who died from cancer
I have 2 or more family members that died before 80
I have 2 or more family members that died before 60

Life Style
Drinking Habits - (1 unit = 1 drink)
12 Units Per Week
Four Units Per Week
Four Units Per Month
Less or none

Smoking
Pack a day or more
Pack per 3 days
Pack a week
Less or never

Attitude
Easy Going
Tempermental
Stressed
Normal

Excercise
Daily
Weekly
Monthly
Less or Never

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PPIB is a registered member of Professional Insurance Brokers Association Limited of Hong Kong
GlobalSurance is wholly operated and owned by PPIB

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