LiveNatural Biological Age Assessment Tool
Created by Dr. Capt. Arvind Poswal
1. Personal Information
Date of Birth:
2. Physical Attributes
Height (cm):
Weight (kg):
Arm Circumference (inches):
3. Medical History
Chronic Health Conditions:
Family History of Major Illnesses:
4. Lifestyle Factors
Smoking Status:
Never
Past Smoker
Current Smoker
Alcohol Consumption:
Never
Occasionally
Frequently
Exercise Frequency:
None
1-2 times per week
3-5 times per week
Daily
5. Diet & Nutrition
Type of Diet:
Balanced
High-fat
High-carb
Vegetarian
Vegan
Servings of Fruits & Vegetables per Day:
Less than 1
1-2
3-5
More than 5
6. Health Metrics
Systolic Blood Pressure (mmHg):
Diastolic Blood Pressure (mmHg):
Estimated Biological Age:
0
years