PHYSICAL HEALTH
srizanag
PHEDHealthAgeQuestionnaire.pdf
5/11/23, 1:14 AM ExRx.net : Health Age Questionnaire
https://exrx.net/Calculators/HealthAge 1/4
Estimate your health age and life expectancy: select the most correct option. Type your age and click "Calculate".
Personal Sex female
Race Asian
Longevity grandparents lived past 90, parents past 80
Education college graduate or skilled craftsman
Sleep 7-8 hours
Coronary Artery Disease (CAD) Cholesterol / HDL ratio Unknown
Blood pressure (systolic / diastolic) 110-130 / 60-80
Smoking never
Heredity 1 close relative over 60 with CAD
Waist / Hip Ratio (Instructions) low risk (< 0.84 male; < 0.72 female)
Stress ambitious but relaxed
Physical activity (work, recreation, and exercise) 10-20 min, light, 1-2 days/wk
Medical Medical exam and screening tests (blood pressure, glaucoma, diabetes)
sometimes get tests
Heart some history
Lung (including tuberculosis and pneumonia) no problems
Digestive tract occasional diarrhea, loss of appetite
Health Age Questionnaire
5/11/23, 1:14 AM ExRx.net : Health Age Questionnaire
https://exrx.net/Calculators/HealthAge 2/4
Diabetes no problem and no family history
Drugs ----------
Medical (women only) Women's health care never have exam
Birth control pill never used
Dietary Breakfast coffee
Regular meals 2 daily
Fruits and vegetables 1 or less servings daily
Monounsaturated Fats (eg: avocados, olives, olive oil, etc.)
consumption 2-4 times each week
Omega 3 Fatty Acids (eg: fatty fish, grass fed meats, flax seeds, etc.
rare consumption
Refined Oils: omega 6 and fried foods (eg: most salad dressings, cooking oils, packaged foods, etc.)
daily high omega 6 and fried foods 2-4 times a week
Refined Foods several servings: bread, rice, cereals, packaged foods
Alcohol none
Psychological Happiness feel satisfied
Depression no family history of depression
Anxiety often anxious
Relaxation relax often
Love and marriage unmarried
Job satisfaction ----------
Social have some friends
5/11/23, 1:14 AM ExRx.net : Health Age Questionnaire
https://exrx.net/Calculators/HealthAge 3/4
Safety Driving less than 7,000 miles (11,000 km) / year
Seat belt usage always
Risk-taking (motorcycle, mountain climb, skydive, higher risk job, etc.)
some with careful preparation
Type your actual age and click "Calculate".
21 Enter your actual
age
Calculate Reset Click calculate
78.9 Typical Life
Expectancy*
91.2 Your Life
Expectancy
8.7 Your Health Age
This questionnaire is designed to help make you aware of factors that can affect your health and longevity. Review your answers and determine which factors you can improve. *Typical Life Expenctancy based on 2005 US Statistics for all races and sexes.
Your itemized scores (years)
10.3 Personal
2 Medical
1 CAD
-3 Diet
0 Psych
2 Safety
12.3 Total
TROUVEZ UN ENDROIT
POUR ÊTRE ENSEMBLE
RÉSERVER
5/11/23, 1:14 AM ExRx.net : Health Age Questionnaire
https://exrx.net/Calculators/HealthAge 4/4
Nutramax Cosamin® ASU Joint Health Su… 1,421
Shop now
