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!

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.
W.C. Fields
A criminal lawyer.
An auctioneer.
A farmer.
A teacher.
George W. Bush
A military leader.
A vulture.
An angel.
Nothing. I don't believe in an afterlife or god.