Longevity Test Results Day 90

First Name

Email

Sex

1. Sit-to-Stand

1 - less than 7

2 - 7-13

3 - 14 or more

2 Single-Leg-Stand

1. Less than 5 seconds

2. 5-9 seconds

3 More than 10 seconds

4 Grip- Strength

1 Weak squeeze

2. Moderate squeeze

3 Strong, steady squeeze

5 Down-to-Floor-and-Up

1 Unable or unsafe to try

2 Use of chair

3 Down and up easily

6 Walking Endurance

1. Stopped due to symptoms

2. Slow and needs rest

3. Brisk pace for 5 minutes

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