Health & Longevity Intake Test
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Answer honestly to receive your personalized score.
1. How many hours of sleep do you get per night?
2. How often do you consume alcohol?
Never
Occasionally
Weekly
Daily
3. Do you smoke or use nicotine?
Never
Former Smoker
Occasionally
Daily
4. How would you rate your diet?
Highly Nutrient-Dense
Balanced
Average
Poor
5. How many servings of fruits & vegetables per day?
6. Days of exercise per week?
7. What type of exercise?
Mixed (Strength + Cardio)
Cardio
Walking
None
8. Sitting hours per day:
9. Average stress level:
Low
Moderate
High
Severe
10. Do you manage stress regularly?
Yes
No
11. How would you rate your relationships/social life?
Strong
Average
Limited
Poor
12. How often do you feel happy or fulfilled?
Daily
Several times/week
Sometimes
Rarely
13. What is your age?
14. What is your gender?
Prefer not to say
Male
Female
Other
15. Height:
16. Weight (lbs):
17. Resting heart rate:
18. Blood pressure:
Normal
Slightly High/Low
High or Low
Don't Know
19. Cholesterol level:
Normal
High
Don't Know
20. Chronic conditions?
None
1 condition
2+
Unspecified
21. Medications or supplements:
Vitamins only
Medications
Multiple medications
22. Family history of major disease?
None
1 disease
2+
Unknown
23. Days per week you feel “at your best”:
24. How proactive are you about health (1–10)?
25. Your personal longevity goal:
Maximize lifespan
Live past 100
Live past 80
Just feel better
Calculate My Score