Healthspan Score – Take Quiz – Younger Quiz

Step 1 of 7

14%

Demographics
Are You*
- Female
- Male
Your Age:*
- < 40
- 40 - 65
- > 65
What is your waist size?*
Measure waist circumference at belly button.
- < 35
- 35 inches or greater
- Don't know...
What is your waist size?*
Measure waist circumference at belly button
- < 40
- 40 inches or greater
- Don't know
Your Height:
Enter inches
Your Weight:
Enter in lbs
Your BMI is...
BMI Range*
- BMI < 22.9
- BMI 23 - 25.0
- BMI 25.1-29.9
- BMI > 30
- I Don't Know
- Prefer Not To Say

Lifestyle
On an average workday, how many hours do you spend sitting?*
- < 3
- 3 - 6
- > 6
Do you sleep 7 to 8.5 hours every night?*
- Yes
- No
Do you exercise for at least 30 minutes, 5 days per week, moderate to vigorous pace?*
- Yes
- No
Do you brush your teeth twice per day or more?*
- Yes
- No
Do you floss your teeth twice per day or more?*
- Yes
- No
Do you practice some form of contemplative practice (yoga, meditation, mindfulness, tai chi, etc) at least three times per week?*
- Yes
- No
How much alcohol do you consume each week?*
- None
- 1 - 3 Servings
- 4 - 7 Servings
- > 7

Health
Would you rate your physical health as better than others your age?*
- Yes
- No
Do you wear sunscreen, avoid the sun, and/or have low vitamin D?*
- Yes
- No
Have you ever been diagnosed with the following?
Diabetes or Pre-Diabetes*
- Yes
- No
- I don't know
Depression*
- Yes
- No
- I don't know
Alzheimer’s disease*
- Yes
- No
- I don't know
Cancer (any type – skin, colon, breast, etc.)*
- Yes
- No
- I don't know
Multiple sclerosis*
- Yes
- No
- I don't know
High blood pressure*
- Yes
- No
- I don't know
Heart disease*
- Yes
- No
- I don't know
Abnormal Pap Test*
- Yes
- No
- I don't know
Stroke*
- Yes
- No
- I don't know
Seasonal affect disorder (SAD) or winter blues*
- Yes
- No
- I don't know
Is your most recent fasting blood sugar between 70-85 mg/dL?*
- Yes
- No
- I don't know
Do you experience frequent colds or other types of infections (i.e., cold sores or herpes, respiratory infections, bronchitis, sinusitis)?*
- Yes
- No

Skin, Hair, and Nails
Do you have weak nails, i.e., thin or brittle?*
- Yes
- No
Do you have white spots on your nails?*
- Yes
- No
Do you have skin problems such as eczema, rashes, and/or acne?*
- Yes
- No
Have you experienced hair loss?*
- Yes
- No
Stress
Have you experienced in the past 12 months a major life stressor such as death of a spouse, divorce or separation, loss of job, or move?*
- Yes
- No
Do you feel like more often than not you’re rushing from one task to the next, like you’re stressed due to a lack of time?*
- Yes
- No
Would you rate your life as very stressful?*
- Yes
- No

Food Intake
Do you eat foods with flour or sugar more than twice per week?*
- Yes
- No
Do you eat at least seven servings of vegetables and fruits (1 serving = ½ cup) every day?*
- Yes
- No
Do you eat at least one serving of greens each day (1 serving = ½ cup)?*
- Yes
- No
Do you eat processed or packaged food, or food containing trans fats (such as donuts, cookies, crackers) once per week or more?*
- Yes
- No
Family History
Do you have a family history of any of the following?
Alzheimer’s disease*
- Yes
- No
Heart disease*
- Yes
- No
Stroke*
- Yes
- No
Diabetes*
- Yes
- No
Osteoporosis*
- Yes
- No
Cancer*
- Yes
- No
Connectedness
Are you currently married? Or do you have someone with whom to share the experiences of daily life?*
- Yes
- No
Do you feel isolated or lonely?*
- Yes
- No
Do you feel enthusiastic, excited, and enlivened about what you’re doing in your life?*
- Yes
- No
Do you feel that there is someone in your life who cares about you and loves you no matter what?*
- Yes
- No
Do you believe that you matter as an individual, and that you make a difference in the lives of others?*
- Yes
- No

Oxidative Stress
Are you tired on a regular basis?*
- Yes
- No
Do you experience fatigue after exercise?*
- Yes
- No
Are you sensitive to smoke, perfume, cleaning supplies, or other chemicals?*
- Yes
- No
Do you feel muscle or joint pain?*
- Yes
- No
Do you smoke or get exposed to secondhand smoke?*
- Yes
- No
Are you exposed to environmental toxins at home or work, such as pollution, heavy metals, or other chemicals?*
- Yes
- No
Do you take prescription or recreational drugs?*
- Yes
- No
Brain Function
Do you struggle once or more per week to find the right word in a conversation?*
- Yes
- No
Do you feel you’ve witnessed a decline in mental sharpness, memory, or focus in the past 5-10 years?*
- Yes
- No
Do you feel like your brain is not functioning as well as it did 5-10 years ago?*
- Yes
- No
Do you believe that chocolate, wine, and guacamole help you look and feel young?
- Yes
- No

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Name*
Email*
Your Healthspan Score

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