Can our health be improved by changing our lifestyle?
Socioeconomic development and advances in medical care have successfully increased  life expectancy to over 80 years. However, during the later years of life, health deteriorates rapidly and there is a higher incidence of chronic illnesses and disability. 

If you are over 18, we are interested in learning your opinions on what contributes to healthy living, and whether healthy aging is achievable through modifying lifestyle behaviors.

Demographic Data
The data lets us find patterns regarding people's views about health. All data is anonymously collected as we do not connect your email to your data responses.
Please select your age range. You must be over 18 to continue. *

What is your Biological Sex?

*
What is your country of residence? *
How many years have you been a resident? *
What is your nationality? *

What is your ethnicity?

*
What is your highest level of education? *
Do you have any chronic diseases? *
Do you have any disability? *
What is your Relationship Status? *
Do you have children? *
What is your employment status? *
Next
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