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The HormoneSynergy Way Longevity Questionnaire

HormoneSynergy® Optimal Aging & Longevity Medicine Questionnaire

This questionnaire helps identify the daily habits, clinical risk factors, and health foundations that most influence long-term vitality, independence, and healthy aging.

It is designed for patient education, app-based scoring, goal setting, and future personalized recommendations. It is not a diagnosis and does not replace medical care.

Scoring scale:

0
Not true / not doing this
1
Rarely true / early stage
2
Sometimes true / inconsistent
3
Often true / mostly consistent
4
Consistently true / well established

Your Longevity Foundation Score

Domain Scores

Priority Areas and Suggested Goals

Clinical note: These results are intended for education and goal setting. Lab interpretation, hormone therapy, cardiovascular testing, medications, and supplement decisions should be reviewed with a qualified clinician.