1. How many servings of fruits and vegetables do you typically eat in a day?

0–1 serving 2–3 servings 4–5 servings More than 5 servings

2. How many days per week do you engage in moderate physical activity?

0 days 1–2 days 3–4 days 5 or more days

3. On average, how many hours of sleep do you get each night?

Less than 5 hours 5–6 hours 7–8 hours More than 8 hours

4. How would you rate your typical daily stress levels?

Very high High Moderate Low

5. How often do you consume processed or fast food?

More than 3 times a week 2–3 times a week Once a week Rarely/Never

6. How many days per week do you engage in strength or resistance exercises?

0 days 1–2 days 3–4 days 5 or more days

7. Do you have a regular practice for relaxation or mindfulness?

Not at all Occasionally A few times a week Daily

8. How many glasses of water do you typically drink each day?

Less than 4 glasses 4–6 glasses 7–9 glasses 10 or more glasses

9. How regularly do you schedule health check-ups or screenings?

Never Rarely Every couple of years Annually

10. How would you describe your level of social and community engagement?

Isolated Limited engagement Moderately engaged Highly engaged