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To continue, you must be at least 18 years old. Please confirm below.

What is your ethnicity?
This is not required, but does help with determining risk factors for you based on culture and ethnicity.

Do you have a history of brain related diseases in your family? If you answered yes, please enter diagnoses in comment box.

Do you have a history of heart attack or stroke in your family? If you answered yes, please include which one or both diagnoses in comment box.

Do you have a history of high blood pressure in your family?

Do you have a history of high cholesterol in your family?

Do you have a history of diabetes mellitus Type I or Type II in your family? Indicate which diagnosis in the comment box, if unknown type "unknown".

Do you have a history of Thyroid Disease in your family?

Do you have a family history of severe cavities?

Do you have a family history of COPD (emphysema or chronic bronchitis)? If so, did they smoke (indicate in comment box)

Do you have a history of fatty liver in your family?

Do you have a history of gallbladder inflammation or gallbladder stones in your family?

Do you have a history of diverticulosis/diverticulitis in your family?

Do you have a history of contipation in your family?

Do you have a history of Irritable Bowel Syndrome in your family?

Do you have a history of arthritis in your family? Indicate which diagnosis in the comment box, if unknown type "unknown".

Do you have a history of ANY type of cancer in your family? Indicate which diagnosis in the comment box, if unknown type "unknown".