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RISK

PERSON # ->

INITIALS ->

JG

WG AG

AGE RANGE ->


1

2
3

4
5
6
7

8
9
10
11

12
13

14
15
16

17

High fat / low


fruit
and vegetable
diet
Acid
precipitation
Pollution to
surface
waters
Terrorism
Airplane
accidents
Global
Warming
Infectious
diseases
(excluding
AIDS)
AIDS
Firearms
Loss of wildlife
habitat
Violent Crime
(excluding
terrorism)
Hazardous
waste
Stratosphericozone
depletion
Cigarette
smoking
Poverty
Second-hand
smoke
(cigarettes)
Pesticide
residues
on food

10

11

12

DH

SP

AT

BB

JB

GB

BT

DT

CT

AVG.
16-25

AVG.
>26

TOTAL
AVG.

--------

------

--------

16- 1625 25
8
7

16- 16- 16- >26 >26 >26 16- 16- >26 >26
25 25 25
25 25
6
1
1
9
9
7
8
7
4
6
5.43

6.08

6.29

6.2

6.25

7.29

6.2

6.83

9
5

6
7

7
4

10
8

8
7

6
5

8
6

4
2

8
6

4
5

8
4

4
6

7.43
6

6
4.6

6.83
5.42

10

6.71

6.4

6.58

10

6.29

6.4

6.33

9
4
7

10
2
1

8
5
4

7
1
10

10
5
9

7
8
9

3
7
4

7
4
5

2
1
3

4
2
4

1
2
2

10
2
1

7.14
2.86
5.43

5.6
4.6
4.2

6.5
3.58
4.92

10

10

3.4

6.08

10

6.86

3.8

5.58

5.71

5.8

5.75

10

10

4.86

7.2

5.83

5
8

1
1

10
1

7
6

6
4

8
10

6
7

7
6

8
9

3
5

4
3

5
3

5.71
4.86

6
5.8

5.83
5.25

10

6.71

4.4

5.75

18
19
20

Automobile
Accidents
Natural
Disasters
Particulate air
pollution

10

5.86

4.6

5.33

5.43

4.8

5.17

6.29

5.75

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