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Introduction

The Longevity Survey consists of 50 questions touching on the Longevity Members medical background, genetic predisposition, lifestyle habits, and ability to follow public health recommendations. The survey weighs each risk independently in an attempt to assess the overall lifetime chance of living to 100.

Each question will be presented as a statement and the Longevity Member should either Agree, somewhat Agree, somewhat Disagree, or Disagree with the statement. 

Please be truthful with your answers, as the Longevity Project was created to improve your Longevity Potential over time. 

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* 1. Please enter your Last Name

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* 2. Please enter your birth date

Date

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* 3. Please respond to the following statements.

I don't have cardiovascular disease

(Cardiovascular disease Includes coronary artery disease, myocardial infarction, heart failure, ischemic heart disease, heart valve disease, heart arrhythmia, and other serious heart diseases.)

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* 4. I have never been diagnosed with cancer

(Some cancers have a worse prognosis than other cancers and the length of time from diagnosis to the present also plays a role in your Longevity Potential. Please take this into account when answering this question)

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* 5. I don't generally suffer from infectious illness

(ie. respiratory, gastrointestinal, sexually transmitted, other.)

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* 6. I don't have another chronic/life-threatening illness

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* 7. My Blood Pressure is under excellent control without the use of medications.
 
Agree: <120/80 average
Somewhat Agree: <130/85
Somewhat Disagree: <140/90
Disagree: HTN

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* 8. My Blood Sugar is under excellent control without the use of medications.

Venous Sample Fasting Blood Sugar:

Agree: < 90 mg/dl
Somewhat Agree: < 100 mg/dl
Somewhat Disagree: <125 mg/dl
Disagree: DM

(An 8-hour fasting venous blood sugar is the best way to monitor your blood sugar and overall risk for diabetes.  Age, weight, and genetics seem to be predictors of elevated blood sugars.)

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* 9. My Blood Cholesterol is under excellent control without the use of
medications

LDL (Low-Density Lipoprotein)

Agree:  < 70
Somewhat Agree:  < 100
Somewhat Disagree:  <130
Disagree:  Hyperlipidemia

Remember, Exogenous Cholesterol comes from animal products only. Eat less animal products and your cholesterol goes down. Vegetarians who don't eat animal products make needed cholesterol in the liver.

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* 10. I support strong bones through a diet of healthy eating and routine exercise.

(A diet of green leafy vegetables, dairy, meats,  sardines, soy, nuts, Vitamin D, Vitamin K, along with consistent weight-bearing exercises, is the best combination to promote strong bones)

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* 11. My Body Weight is Ideal 

BMI:
Agree: <22 
Somewhat agree: <26
Somewhat disagree: <30
Disagree: BMI > 30, or BMI < 18.5

(Body Mass Index takes into account your height and your weight and is a good predictor of your Longevity Potential. Try to keep your BMI between 18.5 and 25 for your entire life.)

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* 12. I am up to date on my vaccinations according to the Centers for Disease Control/USPTF Guidelines for childhood and adult vaccinations. 

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* 13. This statement only applies to women between ages 21-65. If you are outside this group, select Agree 

I am following the Centers for Disease Control/USPTF Guidelines for Cervical Cancer Prevention.

(The USPTF recommends that women aged 21-65 be screened through a pap smear every 3 to 5 years. Earlier and more frequent pap screenings may be required for those with a family history of cervical cancer.)

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* 14. This statement only applies to women between ages 50-75. If you are outside this group, please select Agree.

I am following the Centers for Disease Control/USPTF Guidelines for Breast Cancer Prevention.

(The USPTF recommends that women between ages 50-75 receive a mammogram every two years. More frequent mammograms and earlier age mammograms may be required for those with a family history of breast cancer.)

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* 15. I don't have a family history of cardiovascular disease

(Early age (< 65 ) heart attack or stroke in a first-degree relative who is a non-smoker is the most significant risk category)

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* 16. I don't have a family history of cancer

(Early Age (< 65) diagnosis of terminal cancer is the most significant risk category.)

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* 17. I don't have a family history of dementia or other neurodegenerative diseases

(Early Age (< 65) diagnosis of dementia or other neurodegenerative disease is the most significant risk category.)

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* 18. I don't have a family history of mental illness

(Diagnosis of a DSM-5 mental illness in a first-degree relative is the most significant risk category. DSM-5 diagnoses include illnesses like schizophrenia, bipolar disorder, major depressive disorder, generalized anxiety disorder, etc)

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* 19. I don't have a family history of other chronic illnesses

Early age (<65) of other chronic illness is the most significant risk category.

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* 20. I am at low risk for cardiovascular disease by genetic screening
(If genetic screening not preformed, use ....by family history)

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* 21. I am at low risk for cancer by genetic screening
(If genetic screening not preformed, use ....by family history)

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* 22. I am at low risk for dementia by genetic screening
(If genetic screening not preformed, use ....by family history)

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* 23. I am at low risk for cardiometabolic disease by genetic screening.
(If genetic screening not preformed, use ....by family history)

(Cardiometabolic diseases include diabetes, hypertension, hyperlipidemia, coronary artery disease, and Non-Alcoholic Fatty Liver Disease.)

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* 24. I am at low risk of other life-threatening illness by genetic screening.
(If genetic screening not preformed, use ....by family history)

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* 25. I am not exposed to excessive air pollution

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* 26. I am not exposed to 2nd hand smoke

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* 27. I am not exposed to harmful drinking water.

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* 28. I am not exposed to asbestos

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* 29. I am not exposed to these occupational hazards

Arsenic, beryllium, cadmium, chromium, diesel/ engine exhaust, nickel, polycyclic aromatic hydrocarbons, silica, benzene, formaldehyde

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* 30. I am not exposed to other occupational or environmental hazards

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* 31. I do not smoke or chew tobacco

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* 32. I do not drink alcohol

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* 33. I do not smoke/ingest marijauna

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* 34. I do not use street/narcotic drugs.

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* 35. I do not use prescription narcotic drugs

(These include medications in the benzodiazepine, opiate, and sedative-hypnotic family-alprazolam, lorazepam,  hydrocodone, oxycodone, zolpidem, etc)

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* 36. I wash my hands at least 5 times a day.

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* 37. I wear seatbelts and/or helmets while driving, biking, skiing, skateboarding, etc.

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* 38. I do muscle strengthening exercises on a daily basis

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* 39. I do cardio exercises daily.

Cardio exercises aim at doubling one's resting heart rate for at least 30 minutes during each exercise session.

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* 40. I do stretching exercises on a daily basis

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* 41. I drink and eat milk, dairy, and foods rich in Calcium on a daily basis.

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* 42. I eat 5 portions of vegetables/fruits on a daily basis

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* 43. I eat one portion of food that is high in fiber on a daily basis

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* 44. I eat one portion of whole grains, nuts, and seeds on a daily basis

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* 45. I eat one portion of food high in omega-3 fatty acids

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* 46. I don't eat foods with polyunsaturated fats

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* 47. I don't eat foods that contain trans-fatty acids

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* 48. I don't eat red meat

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* 49. I don't drink sweetened beverages

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* 50. I don't eat foods high in sodium content

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* 51. I spend lots of time in Nature

This includes walking, hiking, gardening

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* 52. I spend time meditating on a daily basis

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