Legacy Lifestyle

This form should not take longer than 5 minutes to fill out and will allow us to provide personalized lifestyle recommendations to you along with the results of your analysis.


This is your unique, anonymized identifier.
This impacts the level of pollution you're exposed to.
Date of birth *
Date of birth
You will need this to collect your results
How often do you exercise?
How often do you travel?
How often do you drink alcohol?
How often do you use recreational drugs?
How often do you eat soy-based products?
Surgery, Trauma, and Fever
Childhood Diseases (Check all the Apply)
Everything Else
Check all that apply
Optional: Sexual Health
These questions, while relevant for improving your recommendations, are completely optional.
Optional: Hormone Enhancements
These questions, while relevant for improving your recommendations, are completely optional.
 
 

 

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