6.1. Do you drink alcohol?

Yes = 1 No = 2

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If yes alcoholic index (g/day)

| | | | g/j

6.2. Do you smoke?

Yes = 1 No = 2

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If yes number of packs- year (PA)

| | | | PA

6.3. Do you practice a regular physical activity?

Oui = 1 Non = 2

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6.4. What is the heaviest weight you have ever had since you were 18 years old (excluding pregnancy)?

| | | | | | Kgs

6.5. Have you gained weight in the last 12 months before the interview?

Yes = 1 No = 2

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6.5.1. If yes how many Kg?

| || || | Kgs

6.7. Have you lost weight in the last 12 months before the interview?

Yes = 1 No = 2

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