Longevity QuestionnaireStep 1 of 616%Health Care (1 out of 6)Do you smoke?(Required) yes quitted more than a year ago quitted more than 10 years ago quitted smoking more than 15 years ago no, neverHow many servings of alcohol on average do you drink per week? 1 serving is a glass of wine or a can of beer(Required) 0 to 2 2 to 5 above 5How often do you arrange check-ups with blood work with your healthcare provider?(Required) every 6 months annually once in 2 years at longer intervalsAre you proactive in seeing a doctor when you feel sometihng is wrong?(Required) yes noDo you use any type of wearables to help with tracking your health?(Required) yes noHow regularly do you engage in thermal activities like using a sauna, cold plunge, or taking cold showers?(Required) Never Once a month Once a week More than once a weekExercise (2 out of 6)How much total time per week do you spend on activities that raise your heart rate?(Required) less than 1 h 1 – 2,5 h 2,5 h – 4 h 5 h or moreHow much time you spent doing strength training, like lifting weights or resistance bands?(Required) none 10-30 mins below 1h 1.5 h – 2 h more than 2 hHow much time you spent doing exercises to improve balance, like yoga, tai chi, pilates?(Required) none 1 h 2 h or moreDo you include stretching exercises before or after your workout?(Required) yes no Third ChoiceNutrition (3 out of 6)What is you height?(Required)What is your weight?(Required)How many times per week do you consume pre-packaged or fast food meals?(Required) More than 5 times a week 4-5 times a week 2-3 times a week Once a week or less NeverHow many ounces (oz) or liters (L) of water do you drink daily?(Required) Less than 35 oz ( 1L) Less than 75 oz (2L) 75 oz (2L) or moreAre you currently using any health or longevity supplements?(Required) yes noHow many total hours per day are you fasting, including sleep time?(Required) 8 h or less 9-11 h 11-12h more than 13 hSleep (4 out of 6)How would you rate your sleep quality overall?(Required) Very good Fairly good Fairly bad Very badHow many hours of sleep do you usually get every night?(Required) Below 6h 6- 7 h 7-8 h 8-9hHow many times do you wake up at night on avearge?(Required) 0-2 2-3 more than 3How many days during the week do you go to bed and wake up at the same time?(Required) 5 to 7 3 to 5 below 3How many times a week do you use sleep medication?(Required) 4 days or more 2-3 days once a week neverDo you have a relaxing bedtime routine?(Required) yes noDo you feel that your bed, noise level and temperature provide an optimal sleep environment?(Required) yes noMindset (6 out of 6)During last 2 weeks how often did you feel down, depressed, or hopeless?(Required) never 1 to 6 days 7 or more daysHow often a week do you meditate or practice mindfulness?(Required) never 1-2 times a week 3-5 times a week every dayHow many hours per week do you spend on hobbies or activities that bring you joy?(Required) less than 1 h a week 1-2 h 3 h or moreHow often a week do you meet with family or friends?(Required) 1-2 times a week 3-4 times a week 5 or moreHow regularly do you engage in conversations where you openly share your feelings with someone you trust?(Required) I don’t, I keep my feeling to myself. Rarely. Only in exceptional circumstances Sometimes. When prompted or during significant life events Frequently. It’s a regular part of my interactionsHow active are you in community groups?(Required) Not involved I occasionally participate I regularly attend or contribute I am a key member or organizerHow often do you engage in brain-stimulating activities, such as puzzles, chess, or learning new language?(Required) Rarely or never Weekly Several times a weekMental Health (5 out of 6)How much do you feel age restricts you from achieving personal goals and leading a fulfilling life?(Required) I feel age somewhat restricts me. Age has minimal impact on my goal achievement or life fulfillment. I don’t see age as a barrier to my personal goals or happinessUntil what age do you foresee maintaining an active lifestyle? (answer in number)(Required)Do you consider yourself a positive person?(Required) Yes, I am generally optimistic. Neutral, I have a balanced outlook. No, I tend to be more pessimistic.Do you set goals and prioritize activities that promote your overall well-being and longevity?(Required) Yes, regularly and consistently Sometimes, but not consistently Rarely or neverHow easily do you find purpose and meaning in your everyday life?(Required) With difficulty Somewhat easily Quite easilyAre you part of a community that encourages a focus on long-term health and well-being?(Required) yes noCommentsThis field is for validation purposes and should be left unchanged. Share what you've learned!
