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Year(s) Asked on Long Form

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Questions1986198719881990199219941996199820002002200420062008

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Date of birth

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Major ancestry

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Current marital status

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Religious heritage

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Work status

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Eye color

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Hair color at age 18

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Height

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Current weight

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Weight at age 21

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Times donated blood

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Weight change over last 2 years

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Intentional weight loss over last two years; Amount lost (method of loss)

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Problems hearing

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Weight in last 20 years:
- Minimum lbs at age
- Maximum lbs at age

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Times in the last 20 years you've lost:
- 5-9 lbs.
- 10-19 lbs.
- 20-49 lbs.
- 50+ lbs.

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Weight in last 4 years:
- Minimum lbs at age
- Maximum lbs at age

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Times in the last 4 years you've lost:
- 5-9 lbs.
- 10-19 lbs.
- 20-49 lbs.
- 50+ lbs

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Methods of weight loss of 10+ lbs.

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Waist measurement

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Torso measurement

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Hip measurement

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Birthweight

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Hair pattern at age 45

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Naturally right/left handed

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Address mailed to: home or work

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Difference between highest and lowest weight