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How Will You Die?
Have you ever wondered how you'll meet your demise? Usually we don't know what the Grim Reaper has in mind for us until the end is in sight. Until now. Answer all these question to the best of your ability and we'll predict what will do you in. Admit it. You're dying to know!

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1. What is your name?
First name only, if you prefer.

2. What is your gender?
Male
Female


3. How old are you?
14 or less
15-24
25-34
35-44
45-54
55-64
65 or more


4. What is your race/ethnicity?
American Indian/Alaskan Native
Asian/Pacific Islander
Black
Hispanic
White
Other (combination)


5. Which of these diseases have your ancestors died of?
Alzheimers
Benign Neoplasms (Tumors)
Cerebro-vascular Disease (Stroke)
Chronic Lower Respiratory Disease
Circulatory System Disease (Emphysema, chronic bronchitis)
Diabetes
HIV
Heart Disease
Hypertension
Influenza & Pneumonia
Liver Disease
Malignant Neoplasms (Cancer)
Nephritis and Nephrosis (Kidney disease)
Respiratory Distress
Septicemia (Systemic infection)


6. According to your doctor and/or medical charts what term best describes your weight?
Underweight
Normal
Overweight
Obese
Morbidly obese


7. Do you drink alcohol?
Yes, like a fish
Yes, occasionally (a drink or two a day or less)
No


8. Do you smoke?
Yes, like chimney
Yes, but on rare occasion
No


9. What best describes your level of physical activity?
Inactive, sedentary--I'm a couch potato.
Moderate--I enjoy a walk or other light exercise.
Vigorous--I consider myself an athlete.


10. Are you now or do you plan to be employed in the following jobs?
Bullfighter
Cat burglar
Chauffeur
Commercial fisher
Construction worker
Dentist
Detective
Doctor
Farmer
Food batchmaker (operates food mixer in processed food plant)
Forester
Guard
High wire circus performer
Judge
Lathe & turning machine operator
Lawyer
Mafia informant
Mathematician
Miner
Nurses
Police officer
Prison snitch
Pornographic movie performer
Salesperson
Scientist
Social worker
Taxicab driver
Tool and die maker
Tornado chaser
Urban planner
White female painter, sculptor, or artist.


11. What are your religious views/activities?
Attend a house of worship regularly
Atheist/agnostic
Cult member


12. How much time do you spend in the car?
Less than 30,0000 miles per year
More than 30,0000 miles per year


13. Are you diabetic?
Yes
No


14. Which of these activities do you do?
Bicycling
Canoeing/kayaking/rafting
Cheating at cards
Coin/stamp collecting
Dating wives of jealous husbands
Dueling
Fishing
Freestyle mountain and cliff climbing
Gorging on food
Having unprotected gay sex
Horseback riding
Hunting
Illegal drag racing
Jogging/running
Russian roulette
Skydiving
Snow skiing/Snowboarding
Swimming
Using intravenous drugs
Walking
Water skiing
Other


15. What is your economic situation?
Poor
Middle class
Rich

16. In your next life, what would you like to be?
A cowboy.
A baker.
An astronaut.
An actor.
A gardener.
A vacuum cleaner.
W.C. Fields.
A hypochondriac.
A criminal lawyer.
An auctioneer.
A farmer.
A teacher.
Donald Trump
A military leader.
A vulture.
An angel.
Nothing. I don't believe in an afterlife or god.