Answering with "I'm okay. How about you?" is perfectly natural. I say this on a daily basis. Other variants would be "I'm fine, thanks. And you?" or "I'm doing well. What about you?"
Hope this helps :)
December 4, 2014
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Your question should be, "Can I answer this question like this?"
Yes, you can. "How about you?" Is very natural.
December 4, 2014
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