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 personalized resource navigation. It is not a diagnosis, does not replace medical care, and is not a validated disease-risk calculator.
Scoring scale:
0
Not true / not doing this
Not true / not doing this
1
Rarely true / early stage
Rarely true / early stage
2
Sometimes true / inconsistent
Sometimes true / inconsistent
3
Often true / mostly consistent
Often true / mostly consistent
4
Consistently true / well established
Consistently true / well established
Your Longevity Foundation Score
Domain Scores
Your Three Priority Areas
Clinical note: This is an educational foundation score, not a validated disease-risk score. Lab interpretation, hormone therapy, cardiovascular testing, medications, and supplement decisions should be reviewed with a qualified clinician.