Aging Assessment

DR. RAO WANTS YOU TO FIND OUT IF ANTI-AGING IS FOR YOU.

If you agree with the following statements, jot down the predetermined number of points on the corresponding line. If you do not agree, leave the line blank.

Add up the numbers on the lines to determine your total score.

1. I feel like I'm getting old (+2)

2. I have trouble maintaining my optimal weight (+3)

3. My body fat percentage has increased (+3)

4. My cholesterol has increased (+3)

5. My HDL cholesterol level has decreased (+3)

6. My LDL cholesterol level has increased (+3)

7. Although, I'm active, my muscle tone has decreased (+2)

8. My strength and stamina are not what they were when I was 35 (+1)

9. I have more aches and pains than I did when I was 35 (+1)

10. My desire for sex has diminished (+3)

11. ln general, my energy level has decreased (+2)

12. I have trouble sleeping (+2)

13. My vision is not as good as it was when I was 35 (+1)

14. I feel depressed and anxious once a week (+1)

15. I have trouble concentrating than I did when I was 35 (+2)

16. My memory is not as good as it was when I was 35 (+2)

17. I am losing my hair (+2)

18. My skin is more dry and wrinkled than it used to be (+3)

19. I have developed osteoporosis (+3)

ADD UP YOUR TOTAL HERE, ENTER YOUR NAME & EMAIL, THEN CLICK NEXT TO SEE YOUR RESULTS

Enter your total number

Enter your email address

Enter your first and last name

Enter your phone number (optional)

<9 = YOU MAY OR MAY NOT YET BE A CANDIDATE FOR THERAPY, DEPENDING ON WHICH QUESTIONS YOU ANSWERED AFFIRMATIVELY.

9-20 POINTS = YOU APPEAR TO BE EXPERIENCING SOME AGING SYMPTOMS.

21-30 POINTS = YOU WOULD PROBABLY BENEFIT FROM A THOROUGH EVALUATION TO DETERMINE AN INDIVIDUALIZED TREATMENT PROGRAM.

31 + POINTS = YOU APPEAR LIKELY TO BE SUFFERING FROM AGE-RELATED ISSUES AND SHOULD OBTAIN FURTHER EVALUATION AND HELP.

Thanks for filling out our quiz! For more information, please contact Dr. Rao or schedule a consultation.