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Life Expectancy Questionnaire

The following questionnaire is adapted from United States National Institute of Health (NIH) 2005 Statistics, amended with data from the NZ Ministry of Social Development 2007 Social Report

To estimate your health age and life expectancy, select the most applicable option against each of the questions that follow. At the bottom of the questionnaire, type your age and click "Calculate".

Please note: The data you enter is confidential, the calculations are performed on your computer and is NOT retained on this website.

Personal
Gender
Race
Family History
Education
Sleep Pattern

Coronary Artery Disease (CAD)
Cholesterol (or total cholesterol / HDL ratio)
Blood pressure (systolic / diastolic)
Smoking
Family History of Coronary Disease
Waist / Hip Ratio (Instructions)
Stress Factors
Physical activity (work, recreation, and exercise)

Medical
Medical exam and screening tests (blood pressure, glaucoma, diabetes)
History of Heart Conditions
Breathing and Lung Conditions (including tuberculosis and pneumonia)
Digestive tract Conditions
Diabetes
Drugs

Womens Health (women only)
Women's health checks
Birth control pill

Dietary
Breakfast
Regular meals
Fruits and Vegetables
Fat Consumption
Refined foods
Alcohol Consumption

Psychological
Happiness
Depression
Anxiety
Relaxation
Love and marriage
Job satisfaction
Social

Type your actual age and click "Calculate".

 

 

Type your actual age here
 

 

Click calculate
 

 

Typical Life Expectancy

 

 

Your Life Expectancy
 

 

Your Health Age

This questionnaire is designed to help make you aware of factors that can effect your health and longevity. Review your answers and determine which factors you can improve.

If you see negative figures, (e.g. -2.2)  in any box below, then, this is an area you might like to consider to make improvements to.
 

 

Personal
 

 

Medical
 

 

Coronary Disease
 

 

Diet
 

 

Psychological
 

 

Total

Our Weight & Health Management Assessments can help you change many of these risk factors.