AgeWell Survey

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Take our 1-2 minute survey to discover your unique ageing pattern!

Complete this quick survey to gain insights into your unique ageing process. Receive personalized tips to help you age healthier and with vitality.

Simply select the option that best describes your current tendencies for each question.
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Guess my age* This field is required.When I tell people my age, their reactions are
CHOICES
"Oh, I thought you were older."
Row 0, Column 0
"You look exactly your age!"
Row 1, Column 0
"Wow, you look so young!"
Row 2, Column 0
"Oh, I thought you were older."
"You look exactly your age!"
"Wow, you look so young!"
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Row 0, Column 0
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Row 1, Column 0
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Row 2, Column 0
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The Early Signs of Ageing* This field is required.What's the first thing you noticed as you started ageing?
CHOICES
Dry skin, premature wrinkles, creaky joints.
Row 0, Column 0
Premature grey hairs, thinning locks, hair loss.
Row 1, Column 0
Weight gain, water retention, feeling heavier.
Row 2, Column 0
Dry skin, premature wrinkles, creaky joints.
Premature grey hairs, thinning locks, hair loss.
Weight gain, water retention, feeling heavier.
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Row 0, Column 0
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Row 1, Column 0
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Row 2, Column 0
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Digestive Drama* This field is required.How has ageing impacted your digestion?
CHOICES
It's unpredictable: sometimes I'm not hungry, sometimes bloated and gassy.
Row 0, Column 0
Acid reflux and heartburn have become my new friends.
Row 1, Column 0
I feel heavy after meals, digestion is slower, and I eat without hunger.
Row 2, Column 0
It's unpredictable: sometimes I'm not hungry, sometimes bloated and gassy.
Acid reflux and heartburn have become my new friends.
I feel heavy after meals, digestion is slower, and I eat without hunger.
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Row 0, Column 0
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Row 1, Column 0
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Row 2, Column 0
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Hair Journey* This field is required.What has been the most noticeable change in your hair as you've aged?
CHOICES
It has become drier, thinner, and more brittle
Row 0, Column 0
It has become greyer, with hair loss
Row 1, Column 0
Not much change
Row 2, Column 0
It has become drier, thinner, and more brittle
It has become greyer, with hair loss
Not much change
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Row 0, Column 0
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Row 1, Column 0
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Row 2, Column 0
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Skin Deep* This field is required.How has your skin changed as you've aged?
CHOICES
It has become drier, more cracked, and wrinkled.
Row 0, Column 0
I’ve noticed more redness, uneven skin tone, and sunspots.
Row 1, Column 0
It’s become puffy and saggy
Row 2, Column 0
It has become drier, more cracked, and wrinkled.
I’ve noticed more redness, uneven skin tone, and sunspots.
It’s become puffy and saggy
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Row 0, Column 0
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Row 1, Column 0
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Row 2, Column 0
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Elimination Station* This field is required.How has your elimination changed with age?
CHOICES
I’ve tendency towards constipation
Row 0, Column 0
My stools have become looser
Row 1, Column 0
Regular, not much change
Row 2, Column 0
I’ve tendency towards constipation
My stools have become looser
Regular, not much change
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Row 0, Column 0
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Row 1, Column 0
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Row 2, Column 0
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Stress Reactions* This field is required.How do you react to stress as you get older?
CHOICES
I’ve become more anxious or worried
Row 0, Column 0
I’ve become more irritable and aggressive
Row 1, Column 0
I’ve started to avoid conflict and become withdrawn
Row 2, Column 0
I’ve become more anxious or worried
I’ve become more irritable and aggressive
I’ve started to avoid conflict and become withdrawn
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Row 0, Column 0
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Row 1, Column 0
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Row 2, Column 0
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Sleep Patterns* This field is required.How has your sleep changed with age?
CHOICES
More difficult to fall asleep, lighter sleep
Row 0, Column 0
Wake up in the middle of the night because of dreams or thoughts, difficulty to go back to sleep
Row 1, Column 0
Difficulty to wake up
Row 2, Column 0
More difficult to fall asleep, lighter sleep
Wake up in the middle of the night because of dreams or thoughts, difficulty to go back to sleep
Difficulty to wake up
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Row 0, Column 0
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Row 1, Column 0
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Row 2, Column 0
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Energy Levels* This field is required.How has your energy level changed with age?
CHOICES
I have bursts of energy and then no energy
Row 0, Column 0
I have regular energy levels
Row 1, Column 0
I feel lazy and lethargic most of the time
Row 2, Column 0
I have bursts of energy and then no energy
I have regular energy levels
I feel lazy and lethargic most of the time
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Row 0, Column 0
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Row 1, Column 0
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Row 2, Column 0
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Your Most Prominent Trait Now* This field is required.With age you have become more
CHOICES
Ungrounded, distracted
Row 0, Column 0
Rigid and stuck in beliefs
Row 1, Column 0
Withdrawn, less interest to socialise
Row 2, Column 0
Ungrounded, distracted
Rigid and stuck in beliefs
Withdrawn, less interest to socialise
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Row 0, Column 0
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Row 1, Column 0
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Row 2, Column 0
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Memory Lane* This field is required.How has your memory changed?
CHOICES
I became more forgetful, noticeable deterioration
Row 0, Column 0
I remember what’s important, forget all the rest
Row 1, Column 0
It did not change much, I have a good memory
Row 2, Column 0
I became more forgetful, noticeable deterioration
I remember what’s important, forget all the rest
It did not change much, I have a good memory
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Row 0, Column 0
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Row 1, Column 0
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Row 2, Column 0
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Name* This field is required.
Name
Surname
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Email* This field is required.
example@example.com
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A Calculation
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B Calculation
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C Calculation
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RESULT
Should be Empty: