image
All Questions are mandatory

Assessment Questions

Section 1

Q1. Have you experienced one or more of these symptoms in the recent past?
  • Increased Thirst and Dry Mouth
  • Fatigue or tiredness
  • Unexplained weight loss
  • Blurred Vision
  • Frequent Infections
Q2. How often do you eat fast food or processed foods? (Example: Maggi, KFC, Packed food, Ready-to-eat foods etc)
Q3. Have you experienced one or more of these symptoms in the recent past?
  • Dizziness
  • Irregular Heartbeat
  • Shortness of Breath
  • Nose Bleeds
  • Chest Pain
Q4. Do you often experience sneezing, runny or stuffy nose, or itchy eyes?
Q5. Have you experienced any skin rashes, hives, or eczema recently?
Q6. How often do you feel stressed or anxious?
Q7. How are your overall energy levels?
Q8. Have you experienced one or more of these symptoms in the recent past?
  • Weight gain
  • Cold Intolerance
  • Dry Skin & Hair
  • Constipation
  • Muscle Weakness
Q9. How often do you visit a healthcare provider for check-ups or issues
Q10. If you are a women, have you experienced one or more of these symptoms in the recent past?
  • Irregular Periods
  • Sudden Weight Gain
  • Acne
  • Pelvic Pain
  • Infertility
Q11. Your Current BMI ? not sure calculate now BMI
Q12. Have you been diagnosed with any of the below chronic issues:
  • Diabetes
  • Hypertension
  • Thyroid