Registration

Nationality: Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia, The Gaza Strip Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong S.A.R. Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia, The Former Yugo. Rep. of Madagascar Malawi Malaysia Maldives Mali Malta Man, Isle of Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Islands Islands, British Wallis and Futuna West Bank Western Sahara Yemen Zambia Zimbabwe

You are   male   female

You live in an urban area with a population over 2 million   Yes   No

You live in a town with under 10,000 people or on a farm  

Yes   No

Any of your grandparents lived to 85  

Yes   No

All your four grandparents lived to 80  

Yes   No

Either parent died of a stroke or heart attack before the age of 50  

Yes   No

Do you have any parent, brother, or sister under 50 has(or had) cancer or a heart condition, or has had diabetes since childhood?   Yes   No

You earn over US$80,000 a year

Yes
No

Your educational level:  

finished colleged   have a graduate or professional degree   none of the above

You are 65 or over and still working  

Yes   No

You've been alone for

about 10 years
about 20 years
about 30 years
about 40 years
about 50 years
60 years or more
No! I live with a spouse or parents or friends.

You
work behind a desk
work regularly and require heavy physical heavy labor
none of the above

You
exercise strenuously five times a week for at least a half-hour
two times a week
don't exercise at all

Your diet

is too high in fat and too low in fiber-rich foods
still have a way to go and make improvements
has been kept with little fat and you eat a varied diet

You sleep more than ten hours each night  

Yes   No

You are
intense, aggressive, easily angered
easygoing and relaxed

You are   happy   unhappy

You have had a speeding ticket in the past year  

Yes   No

You
drink the equivalent of one and a half oz. of alcohol or more a day
seldom or don't drink alcohol

You
are overweight by 50lbs or above
are overweight by 30 to 50 lbs
are overweight by 10 to 30 lbs
are not overweight
For more information, please refer to this page

You are
a man over 40 and have annual checkups
a woman and see a gynecologist once a year
none of the above

Data obtained from the Timmy Yu's life expectancy test and the US Census Bureau. For more information.

Do you fear death? Yes No

Have you contemplated suicide? Yes No