Midlife Metabolic Health Quiz
Simply answer the 19 questions Yes or No.
After completing the quiz you'll be able to see your total score. Enter your email to get  my estimate of how long it will take to turn things around.  
Press Submit at the end.
Sign in to Google to save your progress. Learn more
What's your name? *
Is your waist circumference greater than half your height? (in the same unit of measurement) *
3 points
Do you suffer from brain fog, difficulty concentrating, fatigue in the afternoon? *
2 points
Do you have difficulty falling asleep, staying asleep to the alarm, or waking up feeling refreshed? *
2 points
Are you prone to depression, mood swings, or generally pessimistic about life? *
1 point
Do you spend >90% of your time indoors/in a car & much of that time in front of screens or under LED lights?  *
2 points
Do you spend most of your days in a modern office space?  *
2 points
Does your blood lipid panel show low HDL & high Triglyceride?  *
2 points
Do you get at least 30 minutes of movement daily?  *
2 points
Do you take 1 or more medications long-term for uric acid, liver function, blood clotting, high cholesterol, high blood pressure, hypothyroidism, blood sugar control/diabetes, depression or mental disorders?  *
3 points
Do you have atopic dermatitis, eczema or lupus? *
2 points
Does your family have a history of heart disease, diabetes, depression or mental illness?  *
2 points
Does your maternal lineage come from a place south of Rome, but you live north of Rome (e.g. Paris, London, Berlin, etc) or further north?  *
For southern hemisphere use north/south of Johannesburg, Porto Allegre, Perth
2 points
Do you experience frequent hunger, need to eat regularly or battle with cravings?  *
2 points
Have you had an adult tooth removed for decay?  *
2 points
Do you have permanently dark-stained skin around your ankles to half-way up your calves?  *
Looks like a light to dark tan or concentrated freckles (diabetic dermopathy) 
3 points
Do you have small, dark growths on your skin around your neckline or armpits?  *
They look like moles or warts 
1 point
Do you have thick calves, disproportionate to your general musculature?  *
1 point
Do you regularly smoke tobacco products/vapes, or gave up less than 10 years ago? *
3 points
Do you drink alcohol at least 4x per week?  *
2 points
Enter your email address if you want a copy of your quiz answers. I'll also send you my estimate of how long it will take to turn things around
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms