It's a little hard to provide a specific answer without knowing why they want this data and how they intend to use it.
Right away though, "If over 60 yrs, does not qualify" sounds very discriminatory based on age, which as your gut is telling you, is a big problem. The other two criteria are not protected bases, but need to be analyzed for potential disparate impact. Again, without knowing the why or how, it's hard to be more specific.
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I've just writed a wrong.