Question 4 is totally stupid and relies on input from individuals who may have had no health care training.
ie: My sister* may be a strict mung bean eating, non-smoking, tee-totaling, vegan type food nazi who is "concerned" that 1 stubby of lite beer is going to cause cancer, brain damage, liver failure and global warming. She might tell me this on a monthly basis.
I would thus be compelled to answer 4) with a "yes" and thus gain 4 points, requiring all sorts of BS and expense.
It's all bloody stupid and my DAME says so too.
* fictional character for illustrative purposes only.