The Longevity Test

The Longevity Test is an educational experience, not a cold, hard, objective scientific analysis. This is a self- test for you to learn which of your habits work toward your longevity and optimum health and which do not. 
Regardless of what you score, chances are you can do better with simple modifications of your diet, lifestyle, environment, and mental attitude. The rewards can be very significant in terms of a longer, healthier happier and more vibrant life. Remember, it's never too early or too late to stop the clock on the aging process. 

The Longevity Test was created by Dr. Robert Goldman and Dr. Ronald Klatz, co-founders of the American Academy of Anti-Aging. (A4M) and is used here by permission. 

Test Tip: If you aren't sure about an answer or just don't know, the answer most likely is "no". Be completely honest, don't mull over each question, but don't rush through anything either. There are no right or wrong answers. 

PART A
     
Gender  Male
   Female
     
Age Range  0-29
   30-54
   55-64
   65 or older
     
Heredity  Any grandparent, lived to be over 80
   Average age all four grandparents live to:
     
Family History  
   Either parent had stroke or heart attack before age 50
     Number of family members (grandparent, parent, sibling) 
who prior to age 65 has had any of the following:
   Hypertension
     Cancer
     Heart disease
     Stroke
   Diabetes
     Other genetic diseases
     
 PART B    
   
Family Income   
   
Education 
     
Others would best describe your general mood/ temperament as follows:
     Calm yet alert
     Laid-back and passive
     Angry and easily perturbed or annoyed
     
Occupation   
     
Where you live   
   Large, congested urban industrial center
     Rural or farm area
   Area with air-pollution alerts
   High-crime area
   Little or no crime area
   Home has tested positive for radon
     
     Total hours commuting time to and from work:
     
     Within 30 miles of major medical/trauma center
     No major medical/trauma center in area 
     
PART C     
 
Health Status:
   Present overall physical health: 
   Excellent-- almost never ill; feel great, most of the time
   Good--sick 10 days or less/year; feel good most of the time
   Fair--sick 11 days or more/year; feel okay but low energy
   Poor--sick 20 days or more/year; feel average to low energy
     
   What is your blood pressure? (if measured within the last year)
     Normal: below 140/90 mmHg
   Borderline: between 140/90 and 160/95
     High: Top (systolic) reading was above 160 and/or Bottom (diastolic) reading was above 95
     Don't know
     
  Cholesterol  
     Low cholesterol (under 200)
     Moderate cholesterol (200-240)
     High cholesterol (over 240)
     Don't know
     
     HDL cholesterol 29 or less
     HDL cholesterol 30-45
     HDL cholesterol over 45
     Don’t know
     
   Do you or close family member have diabetes?
   Have comprehensive medical insurance coverage
   Able to use physicians of your choice
   Insurance limits your physician choices
     Have no insurance
     
Tobacco  (1 pipe = 2 cigarettes/ 1 cigar = 3 cigarettes):
   Never smoked
   Quit smoking
     
   Smoke up to one pack per day
   Smoke one to two packs per day
     Over two packs per day
     
     Number of packs smoked per day
     Number of years smoked
     
 Alcohol   (Daily consumption of 1 beer or 1 glass of wine = 1.25 oz. (37 ml) alcohol)
     Insert the average number of beers or glasses of wine consumed daily.
     
Exercise  (20 minutes or more moderate aerobic exercise)
     5 or more/week
     4 times per week
     3 time per week
     2 times per week
     No regular aerobic activity
     
   How many flights of stairs (of about 12 steps) do you climb each day?
     
     Work requires regular physical exertion or at least two miles (3.22 km) walking per day.
      Each additional mile (1.6 km) beyond 2 walked per day.
     Sedentary work/not much walking or stair climbing
     
   After taking a brisk walk or a slow jog, do you feel any of these symptoms: racing heart, irregular heartbeat or chest pain?
     Yes (See your doctor before continuing any exercise programme)
     No
     
     Need more than two pillows to sleep comfortably because of discomfort or breathing while lying on back
     
Weight     Maintain ideal weight for height
     5-10 lbs. (2.3 - 4.5 Kg, or .36 - .7 st) over ideal
     11-20 lbs. (5 -9 Kg, or .8 -1.4 st) over ideal
     21-30 lbs. (9.5 -13.6 kg or 1.5 - 2 st) over ideal
      Each additional 10 lbs (4.5 kg or .7 st) over 30 (ie. 1 for 40, 2 for 50, 3 for 60, etc.)
   Underweight
     5-10 lbs (2.3 - 4.5 Kg, or .36 - .7 st)
     11-20 lbs (5 -9 Kg, or .8 -1.4 st)
     
Determine your waist-to-hip ratio as follows: 
  Measure your waist (W) and hip (H) in inches or centimeters. 
Divide your W measure by your H measure. W/H = ratio
Women:
     Your ratio is 0.80 or greater
     Your ration is 0.79 or less
  Men:   
     Your ratio is 0.96 or greater
     Your ratio is 0.95 or less
     
 Nutrition    Eat a well-balanced diet
     Don't eat a well-balanced diet
     
     Regularly eat meals at consistent times
     Don't regularly eat meals at consistent times
     
     Snack or eat meals late at night
     Eat a balanced breakfast
     Eat fish or poultry as primary protein source (almost replacing red meat, once/week or less)
     Eat at least 5 servings of green leafy vegetables/week
     
     Eat at least 5 servings of fresh fruit or juice a day
     Eat less then 5 servings of fresh fruit or juice a day
     
     Try to avoid fats
     Don't try to avoid fats
     
     Fifty percent of meals consist of fried take-out foods, prepackaged or precooked foods
     
     Eat some food every day that is high in fiber (whole-grain bread, fresh fruits and vegetables)
     Do not eat some food every day that is high in fiber
     
  Yes
No 		 Take a daily multivitamin or mineral supplement that includes at least the following:
Vitamin A/beta-carotene (5,000 IU), Vitamin E (400 IU), Vitamin B-complex (50 IU), Zinc (30 mg), Selenium (100 mcg), and Vitamin C (500 mg)
     
  Women Only:
    Take calcium supplement
    Do you get colds or other infections more than once every eight weeks?
    Does it take a long time to get over a bad infection? (For example, do your colds typically last longer than two weeks?)
    Do you need antibiotics three times/year or more?
    Are your lymph nodes often enlarged?
    Regularly use sunscreen and avoid excessive sun
    Subscribe to health-related periodicals
    Actively involved in a life-extension, prevention or comprehensive wellness program
     
PART D     
     
Accident control   
     Always wear a seatbelt as driver and passenger
     Don't always wear a seatbelt as driver and passenger
     
     Never drink and drive or ride with a driver who has been drinking
     Number of arrests for drinking while under the influence of alcohol in the past 5 years
     Number of speeding tickets and or accidents in the past year
     Number of each 10,000 miles (16,100 km) per year driven over 10,000 miles (16,100 km)
     
  Primary Car 
   Weighs over 3,500 lbs (1.5 metric ton or 1589 kg)
     Subcompact
     Motorcycle
     
    Number of  fights or attacks you were involved in, or witness to, in the past 3 years.
    Smoke alarms in home.
     
Preventive and therapeutic measures: 
    Comprehensive physical exams and blood tests (every 3 to 4 years before 50, or every 1 or 2 years over 50)
  Rectal exam and tested for hidden blood in stool (over 40, every two years; over 50, every year)
  No rectal exam and test by age 50
  Well-formed bowel movements 1 or 2 times per day without difficulty
  Irritable bowel disorder or other problems with elimination
     
  If over 50:  
  Sigmoidoscopy of the lower bowel every 3 years
  Have a suspicious skin lesion that hasn't healed in six weeks or that keeps growing
     
  Women Only: 
    Yearly gynecological exam and Pap smear
    Monthly breast self-exam
  Mammogram (35-50, every 3 years; Over 50, every year)
   
            What is your menstrual status?
  Postmenopausal and take oral estrogen supplements
     
  Still menstruating
  Went through natural menopause at 41 or older
  Went through natural menopause at 40 or younger
     
    Underwent total hysterectomy before 41
  Underwent total hysterectomy at age 41 or older
     
  Men Only:  
  Genital self-exam every 3 months
    Rectal or prostate exam (yearly after age 30)
     
PART E    
     
Changeable Psychosocial Factors
  Married or in long-term committed relationship
  Not in any long-term relationship
     
    Satisfying sex life twice/week or more
    Unsatisfying sex life
     
  Children under 18 living at home
  Number of each 5-year period living alone
     
  No close friends
    1 close friend
  2 close friend
  3 close friend
     
  Active membership in a religious community or Volunteer organization
    Have a pet
     
  Regular daily routine (an orderly day, for example, wake up At 7:00, breakfast at 7:30, work by 8:00, etc.)
  No daily routine
     
  Hours of uninterrupted sleep/night:
     
  Regular work routine
  No regular work routine
     
  Number of every 5 hours worked over 40 in a week
  Take a yearly vacation from work (at least 6 days)
    No yearly vacation in past two years (at least 6 days)
     
  Regularly use a stress management technique (yoga, meditation , music, etc)
  No stress management program
     
PART F    
     
Changeable Emotional Stress Factors
 
  NEVER RARELY SOMETIMES ALWAYS 
(or as much as possible)
Generally happy
Have and enjoy time with family and friends
Feel in control of personal life and career
Live within financial means
Set goals and look for new challenges
Participate in creative outlet or hobby 
Have and enjoy leisure time
Express feelings easily 
Laugh easily
Expect good things to happen
Anger easily
Critical of self
Critical of others
Lonely, even with others
Worry about things out of your control 
Regret sacrifices made in life
     
PART G    
     
Age Range:   
     
Your Age: