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Take Your Wellness Survey
Health
Nutrition
Lifestyle
Mood
Congratulations on starting your journey!
Are you facing any illnesses, problems, diseases?
Yes
Please provide more information?
No
History of family illness?
Yes
Please provide more information?
No
Fruit consumption?
Never
Rarely
Sometimes
Regularly
Veg consumption?
Never
Rarely
Sometimes
Regularly
Do you have a poor appetite?
Not at all
Sometimes
Often
Nearly every day
Do you over eat?
Not at all
Sometimes
Often
Nearly every day
How much exercise do you do per week?
No exercise
30 mins
1hr
2hrs
3hrs or more
Do you smoke?
Yes
No
Do you drink alcohol?
Never
Social drinker
A few drinks a day
Almost every day
Do you have trouble falling asleep?
Never
Sometimes
Most of the time
Always
Do you sleep too much?
Never
Sometimes
Most of the time
Always
You’re almost there!
Do you have pleasure in doing things?
Not at all
Sometimes
Often
Nearly every day
Feeling down, depressed, or hopeless?
Not at all
Sometimes
Often
Nearly every day
Feeling tired or having little energy?
Not at all
Sometimes
Often
Nearly every day
Feeling bad about yourself — or that you are a failure or have let yourself or your family down?
Not at all
Sometimes
Often
Nearly every day
Do you have trouble concentrating when completing any tasks?
Not at all
Sometimes
Often
Nearly every day
Overall, how satisfied are you with your life?
1 (Least)
2
3
4
5 (Most)
Almost Done! Just tell us a bit about yourself!
Tell us something more about you
Hi
*Name*
, this will only take a minute
What is your date of birth?
What is your gender?
Male
Female
Please enter your height and weight?
Verify mobile number
Create an account to see your results
Fill in your details
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