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Lifestyle Check for Chronic Disease RiskLifestyle check

Answer 12 questions about your activity, eating, smoking, alcohol, sleep and stress, and see which habits protect your long-term health and which to change first. This is a self-check, not a medical test.

How it works

  • 4 sections with questions
  • Answer each question to see your result
  • See your results at the end

About the Lifestyle Check for Chronic Disease Risk template

For clinics, pharmacies and health coaches. Scores activity, eating, smoking and alcohol, and sleep and stress, where a higher score means healthier habits, and points people with several risk factors to a check-up with their doctor.

Use this template free

No credit card required. Customize questions, scoring, and results after signup.

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