Tell us more about yourself
You now know what we do & We thank you for trusting us. Tell us more about you and be friends!
Basic Information
1. What is your name?
2. What is your Email?
3. What is your Mobile Number?
4. Are you male or female?
5. What is your age?
6. Please enter your weight.
7. Please enter your height.
Marital & Family Status
1. Are you currently?
2. If married, do you currently have children?
3. Are you actively planning for pregnancy?
Medical History
1. Do you have a history of thyroid-related issues?
2. Are you diagnosed with diabetes or high blood sugar?
3. Do you have a history of high blood pressure (BP)?
4. Have you experienced any pregnancy terminations or abortions?
Lifestyle Factors
1. Do you smoke?
2. Do you consume alcohol regularly?
3 Do you experience frequent insomnia or have trouble sleeping?
4. Have you used recreational drugs such as marijuana/weed?