Longevity Screener

Nutrition & Diet

How often do you eat whole, unprocessed foods?

Daily – most of my meals are whole foods Often – about half my meals Sometimes – I rely on processed foods frequently Rarely – most of my diet is processed

How many servings of vegetables do you eat per day?

5+ servings 3-4 servings 1-2 servings Less than 1 serving

Do you practice any form of calorie restriction or intermittent fasting?

Yes, regularly (most days) Sometimes (a few times per week) Rarely Never

How mindful are you about your sugar intake?

Very mindful – I actively limit sugar Somewhat mindful – I watch my intake occasionally Not very mindful – I do not track it Not at all – sugar is a regular part of my diet

Exercise & Movement

How many days per week do you engage in moderate to vigorous exercise?

5+ days 3-4 days 1-2 days Rarely or never

Do you incorporate strength training into your routine?

Yes, 2+ times per week Once a week Occasionally Never

How often do you move throughout the day (walking, stretching, etc.)?

Very frequently – I avoid sitting for long periods Moderately – I take breaks every hour or so Occasionally – I move a few times per day Rarely – I am sedentary most of the day

Do you engage in activities that challenge your balance or flexibility?

Yes, regularly (yoga, tai chi, etc.) Sometimes Rarely Never

Sleep & Recovery

How many hours of sleep do you get per night on average?

7-9 hours 6-7 hours 5-6 hours Less than 5 hours

How would you rate your sleep quality?

Excellent – I wake refreshed and energized Good – Generally restful Fair – Often disrupted or restless Poor – I struggle to sleep or wake tired

Do you have a consistent sleep schedule?

Yes, I go to bed and wake at the same time daily Mostly consistent on weekdays Somewhat irregular Very irregular – my sleep times vary widely

Do you practice good sleep hygiene (dark room, cool temperature, no screens before bed)?

Yes, consistently Most of the time Sometimes Rarely or never

Emotional Health & Mindset

How often do you practice stress management techniques (meditation, deep breathing, etc.)?

Daily Several times a week Occasionally Rarely or never

How would you describe your overall stress levels?

Low – I feel calm and in control most of the time Moderate – Manageable stress High – Frequently stressed or overwhelmed Very high – Chronic stress affects my daily life

Do you have a sense of purpose or meaning in your daily life?

Yes, strongly Somewhat Occasionally Not really

How often do you engage in activities that bring you joy or relaxation?

Daily Several times a week Occasionally Rarely or never

Social & Community

How often do you have meaningful social interactions?

Daily or nearly every day Several times a week Once a week or less Rarely – I feel isolated

Do you feel you have a strong support network?

Yes, I have close friends/family I can rely on Somewhat – I have a few people I can count on Limited – My network is small No – I feel I lack meaningful connections

Are you involved in any community activities or groups?

Yes, regularly Occasionally Rarely Never

How satisfied are you with your relationships?

Very satisfied – My relationships are fulfilling Satisfied – Generally positive Somewhat dissatisfied Very dissatisfied – I struggle with relationships