Test Page Noosa Longevity Health

General information

What city and country is currently your main residence?

Biological sex at birth

Family History

Family history of cardiovascular disease

Age and cause of death of parents

Your Goals and Priorities

What is your goal for visiting Noosa Longevity Health ? What do you hope to achieve?

Is there something specific you feel Noosa Longevity Health should focus on in your health?

Do you have any specific health concerns?

What three things are most important for you to be able to do at age 80?

General Health (Medical Doctor)

Age (18 - 120)

Height

Weight

Do you have any diagnosed chronic conditions?

Current medications or supplements

Have you had surgeries or hospitalizations?

Rate your overall health (1 = poor, 10 = excellent)

Family history of longevity

Do you have family history of cancer , diabetes or dementia?

Average hours of sleep per night

Do you feel rested?

Do you snore loudly or experience sleep disturbances?

Smoking or recreational drug use

Alcohol consumption

Do you have any allergies or drug allergies?

Physical Function and Strength (Physiotherapist)

Frequency of physical activity

Type

Ease with daily tasks

Decline in strength, balance, or mobility in past 5 years

Joint pain, stiffness, or muscle weakness

History of falls or balance issues

Strength training routine

Current fitness level (1 = poor, 10 = excellent)

Can you walk briskly for 30 minutes without discomfort?

Cognitive and Mental Health (Neuropsychologist)

Mood and Emotional Wellbeing: In the past month, have you experienced any of the following?

If any selected, would you like to discuss this further with your doctor?

Cognitive Engagement: Do you regularly engage in mentally stimulating activities?

Please Specify list the types of activities you do

Changes in memory, focus, or decision-making

Stress level (1 = low, 10 = high)

Anxiety, depression, or mood swings

Diagnosed neurological or mental health conditions

Social engagement

History of head injuries or concussions

Nutrition and Lifestyle (Dietician)

Typical daily diet

Dietary pattern