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Personal details
(dd/mm/yyyy)
Smoking habits
e.g. 5; 15 to 20
Alcohol intake
e.g. 5; 8 to 10
* 1 unit = a half pint (284ml) of ordinary strength (3.5-4% ABV) beer, a small glass (125ml) of 8% ABV of wine or a single measure (25ml) of a 40% ABV spirit
Caffeine intake
e.g. 3; 4 to 6