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Table 1 Questionnaire for investigation of lifestyles among the study subjects

From: Effect of gene polymorphisms and ethanol consumption on micronucleus frequency in human reticulocytes: a preliminary study

1. Age

( ) years

    

2. Occupation

(1) Manufacturing etc.

(2) Official etc.

   

3. Education

(1) Middle school

(2) High school

(3) Technical college

(4) University or higher

 

4. Sports

(1) Almost everyday

(2) 2–4 times/week

(3) 1 time/week

(4) 1 time/month

(5) Almost none

5. Alcohol

(1) Almost everyday

(2) 3–5 times/week

(3) 1–2 times/week

(4) 1–3 times/month

(5) <1 time/month

6. Cigarette

(1) Smoker

(2) Former smoker

(3) Never smoked

  

7. Sleeping hours (h)

(1) ≥9

(2) 8

(3) 7

(4) 6

(5) ≤5 

8. Nutrition balance

(1) Pays attention

(2) Pays little attention

(3) Pays no attention

  

9. Breakfast

(1) Almost everyday

(2) Sometimes

(3) Rarely

  

10. Working hours (h)

(1) ≥11

(2) 10

(3) 9

(4) 8

(5) ≤7

11. Mental stress

(1) Much

(2) General

(3) Less