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Personal Aging Assessment

Personal Aging Assessment

How well are you aging? Are you prematurely aging like most Americans these days or are you on track to rise above the ordinary and live an extraordinarily healthy, successful long life? Find out now! Take our new Ageless Living Lifestyle Aging Assessment.

24Questions

1
Do you have trouble walking at a fast pace or for long periods of time?* This field is required.
Yes
Somewhat
No
2
Do you get out of breath climbing stairs?* This field is required.
Yes
Somewhat
No
3
Have you noticed a decrease in muscle mass or physical strength?* This field is required.
Yes
Somewhat
No
4
Have you experienced weight gain?* This field is required.
Yes
Somewhat
No
5
Are you experiencing low energy?* This field is required.
Yes
Somewhat
No
6
Are you experiencing gastrointestinal problems such as indigestion, bloating, excess gas, constipation, or diarrhea?* This field is required.
Yes
Somewhat
No
7
Have you had more illnesses such as colds, flu, infections, allergies than before?* This field is required.
Yes
Somewhat
No
8
Are you experiencing chronic pain and stiffness ?* This field is required.
Yes
Somewhat
No
9
Have you been diagnosed with high blood pressure, high blood sugar or diabetes?* This field is required.
Yes
Somewhat
No
10
Are you having problems with your short term memory, attention span and focus?* This field is required.
Yes
Somewhat
No
11
Have you had recent periods of depression?* This field is required.
Yes
Somewhat
No
12
Do you experience high levels of stress a lot?* This field is required.
Yes
Somewhat
No
13
Do you spent a lot of time in front of an electronic screen?* This field is required.
Yes
Somewhat
No
14
Are you getting enough sleep?* This field is required.
Yes
Somewhat
No
15
Are you getting enough of a well balanced diet?* This field is required.
Yes
Somewhat
No
16
Do you get enough excercise?* This field is required.
Yes
Somewhat
No
17
Do you feel you are living your life with purpose?* This field is required.
Yes
Somewhat
No
18
Are you excited about your future?* This field is required.
Yes
Somewhat
No
19
Are you satisfied with your current level of health and vitality?* This field is required.
Yes
Somewhat
No
20
Are you interested in improving your health, fitness, energy and longevity?* This field is required.
Yes
Somewhat
No
21
Contact Number:* This field is required.
Please enter a valid phone number.
22
Full Name:* This field is required.
First Name
Last Name
23
Email Address:* This field is required.
example@example.com
24
Your Score
Should be Empty:

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