Table 2.

Questionnaire

No	Questions
1–3	Are you currently taking the following medications?
a	A drug to lower blood pressure
b	Insulin injections or a drug to lower blood glucose
c	A drug to lower cholesterol
4	Have you ever had stroke or have you ever received treatment for stroke?
5	Have you ever had heart disease or have you ever received treatment for heart disease?
6	Have you ever had chronic renal failure or have you ever received treatment for chronic renal failure (dialysis)?
7	Have you ever had anemia?
8	Are you a current regular smoker?
9	Have you gained 10 kg or more since you were 20 years old?
10	Have you been exercising at least 2 days per week, at 30 min each at an intensity that causes a slight sweat, for at least 1 year?
11	Do you walk for at least 1 hr every day or have equivalent physical activities in your daily life?
12	Do you walk faster than people of your age and sex?
13	Have you had a weight gain or loss of 3 kg or more over the last year?
14	How fast do you eat compared to others?
15	Do you have an evening meal within 2 hr before bedtime 3 days or more per week?
16	Do you eat after the evening meal 3 days or more per week?
17	Do you skip breakfast 3 days or more per week?
18	How often do you drink alcohol?
19	How much do you drink a day, in terms of glasses of refined sake?
20	Do you feel refreshed after a night's sleep?
21	Are you going to start or have you started lifestyle modifications?
22	Are you willing to get health counseling about lifestyle modifications if the opportunity arises?

Defined by the Japanese Ministry of Health, Labor and Welfare.