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Know the Value of Your “Life”
MyLifeScore
MyTrueAge

Keep up with senior care and tips, living trends, housing, financial advice, and more at Aging IQ News

Know the Value of Your “Life”
MyLifeScore
MyTrueAge

Calculate MyLifeScore

"*" indicates required fields

Step 1 of 6

16%

Name*

First Last

Email*

Phone Number*

Date of Birth*

YYYY slash MM slash DD

Gender*

Marital Status*

What is your current household income?*

What is your zip code?

ZIP Code

Hidden

What is your zip code? (old)

Please enter a number from 0 to 99999.

What is your approximate net worth?*

How many years of education have you completed?*

Have you been diagnosed with a terminal illness?*

Do you own a life insurance policy?*

What is the total death benefit of your policy?*

Hidden

What is your current family income?

Please enter a number from 0 to 999999999999999999.

Hidden

Age

Hidden

Date

MM slash DD slash YYYY

Hidden

male

Hidden

female

Height

Height (ft)*

Please enter a number from 0 to 8.

Height (in)*

Please enter a number from 0 to 12.

Hidden

Height (in)

Weight

Weight (lbs)*

Please enter a number from 0 to 1500.

BMI

How many months has it been since you last smoked?

Please enter a number from 0 to 999.

If you are a current smoker, enter a 0. If you are not a smoker, leave this blank.

On average, how many hours of sleep do you get each night?*

Please enter a number from 0 to 24.

What best describes your level of physical activity?*

How old do you feel compared to others your age?*

How often do you contact friends and family?*

How often do you attend religious services?*

Do you belong to any clubs or organizations?*

What age did you enter menopause?

Please enter a number from 20 to 99.

Leave blank if not applicable.

How many biological relatives have you had live to the ages below? (include deceased relatives)

90+*

Please enter a number from 0 to 99.

85+*

Please enter a number from 0 to 99.

What is your blood sugar?

What is your fasting blood sugar level? (mm/dL)*

Please enter a number from 0 to 999.

Healthy = Less than 140 | Borderline = 140–199 | High = 200+

What is your blood pressure?

Systolic*

Please enter a number from 0 to 999.

Normal = Less than 120 | Elevated = 120-129 | High = 130+

Diastolic*

Please enter a number from 0 to 999.

Normal = Less than 80 | Elevated = 80-89 | High = 90+

What are your cholesterol levels?

Total (mg/dL)*

Please enter a number from 0 to 999.

Healthy = 125–200 | Borderline = 200–239 | High = 240+

HDL (mg/dL)*

Please enter a number from 0 to 999.

Healthy = 60+ | Borderline = 41-59 | High = Less than 40

LDL (mg/dL)*

Please enter a number from 0 to 999.

Healthy = Less than 129 | Borderline = 130–159 | High = 160+

Triglycerides (mg/dL)*

Please enter a number from 0 to 999.

Healthy = Less than 150 | Borderline = 151–199 | High = 200+

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Loneliness???

Hidden

frequency

Hidden

religous

Hidden

social

Activities of Daily Living

Please rate how difficult each activity is to complete based on the scale below.

0 = No difficulty | 1 = Slightly difficult | 2 = Moderately difficult | 3 = Very difficult | 4 = Unable to do

Walking between rooms on the same floor*

Getting in and out of bed*

Using fork, knife, or drinking from a cup*

Dressing yourself*

Managing money/finances*

Doing daily house chores*

Preparing meals*

Walking for a quarter mile*

Walking up ten (10) steps*

Activities of Daily Living

Please rate how difficult each activity is to complete based on the scale below.

0 = No difficulty | 1 = Slightly difficult | 2 = Moderately difficult | 3 = Very difficult | 4 = Unable to do

Stooping, crouching, or kneeling*

Lifting or carrying*

Standing up from an armless chair*

Standing for long periods of time*

Sitting for long periods of time*

Reaching up over your head*

Grasping or holding small objects*

Going out to the movies*

Attending a social event*

Engaging in leisure activities at home*

Pushing or pulling large objects*

Consent*

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By submitting answers to questions, you are providing consent to use your data. Your individual answers will not be published.

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