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Healthy Brain Lifestyle Self-Assessment
1
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Take this self-assessment to determine how your lifestle supports your brain health

There are 20 questions
For each question, choose an answer between 1 and 5 and move or tap the slider
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1%
1. Where 1 is “I feel older than my age” and 5 is “I feel younger than my age”
1
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I feel older than my age

I feel younger than my age
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2. Where 1 is "I have forgotten important events" and 5 is "Sometimes I forget a word or a person's name"

1
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I have forgotten important events


Sometimes I forget a word or a person's name


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3. Where 1 is "I'm not interested in what's going on around me" and 5 is "I generally keep up to date on current events"
1
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I'm not interested in what's going on around me
I generally keep up to date on current events
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4. Where 1 is "I feel useless", and 5 is "I have a sense of purpose"

1
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I feel useless


I have a sense of purpose

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5. Where 1 is "I just eat what I'm used to" and 5 is "I like trying new foods"

1
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I just eat what I'm used to


I like trying new foods

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6. Where 1 is "I often feel unstable, clumsy, or accident prone" and 5 is "I have good balance and feel stable"
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I often feel unstable, clumsy, or accident prone

I have good balance and feel stable
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7. Where 1 is "I am often bored" and 5 is "I have several hobbies and interests that keep me engaged"
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I am often bored

I have several hobbies and interests that keep me engaged
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8. Where 1 is "I feel vulnerable", and 5 is "I feel secure"
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I feel vulnerable

I feel secure
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9. Where 1 is "I'm not interested in learning anything new", and 5 is "I like learning new things"
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I'm not interested in learning anything new

I like learning new things
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10. Where 1 is "I rely heavily on others for help" and 5 is "I feel independent"
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I rely heavily on others for help

I feel independent
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11. Where 1 is "I feel weary and sluggish" and 5 is "I feel energetic"
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I feel weary and sluggish
I feel energetic
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12. Where 1 is "I'm uncomfortable with new situations" and 5 is "I embrace change"
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I'm uncomfortable with new situations

I embrace change
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13. Where 1 is "I know I don't have the best diet" and 5 is "I eat nutritious meals every day"
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I know I don't have the best diet

I eat nutritious meals every day
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14. Where 1 is "I regularly feel lonely" and 5 is "I have a number of close relationships that I rely on"
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I regularly feel lonely

I have a number of close relationships that I rely on
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15. Where 1 is "I have difficulty doing physical tasks" and 5 is "I can do physical tasks without difficulty"
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I have difficulty doing physical tasks

I can do physical tasks without difficulty
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16. Where 1 is "I prefer to stay put" and 5 is "I love going on outings"
1
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I prefer to stay put

I love going on outings
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17. Where 1 is "I rarely get a good night's sleep" and 5 is "Most nights I get a good night's sleep"
1
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I rarely get a good night's sleep

Most nights I get a good night's sleep
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 18. Where 1 is "Walking any distance is a struggle for me" and 5 is "I can easily walk a mile (about 20 minutes)"
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Walking any distance is a struggle for me

I can easily walk a mile (about 20 minutes)
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19. Where 1 is "I feel indifferent or apathetic about each day" and 5 is "I am excited about each day"
1
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I feel indifferent or apathetic about each day

I am excited about each day
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20. Where 1 is "I am unhappy with how 'old' I look", and 5 is "I am content with changes in my appearance"
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I am unhappy with how 'old' I look

I am content with changes in my appearance
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You acheived the level of
Armchair Traveler
1
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Your Brain Self-Assessment results show that in your brain health journey you are an Armchair Traveler. For a complete description please check your email.

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You achieved the level of %%OUTCOME%%
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Your Brain Self-Assessment results show that in your brain health journey you are a Sightseer. For a complete description please check your email.

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You achieved the level of Tourist
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Your Brain Self-Assessment results show that in your brain health journey you are a Tourist. For a complete description please check your email.

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You acheived the result of Pathfinder!
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Your Brain Self-Assessment results show that in your brain health journey you are a Pathfinder. For a complete description please check your email.

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You acheived a result of Globetrotter!
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Your Brain Self-Assessment results show that in your brain health journey you are a Globetrotter. For a complete description please check your email.

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