Your Health Status Form
  Please complete this form, and our team will reach out to you to provide guidance on how you can improve your health and wellness.  
Email *
Your Name?
1 point
Mobile Number?
1 point
Height?
1 point
Weight?
1 point
Any Health Challenge? 
1 point
  "Aap apni daily "Energy" level ko 0 se 1 ke scale par kaise rate karenge?
Jahan 0 ka matlab hai – poore din low energy,
0.5 ka matlab hai – kabhi energy high, kabhi low (moderate ya fluctuate hoti hai),
aur 1 ka matlab hai – poore din high aur consistent energy."  
3 points
O
.5
1
LOW ENERGY
UP & DOWN
HIGH

"Kya aapka "DIGESTION" meals ke baad theek rehta hai? (jaise ki koi bloating, gas, acidity ya heaviness na ho)"                                                          

3 points
0
.5
1
Column 4
Column 5
Column 6
Column 7
Column 8
Column 9
Har roz ya aksar bloating, gas, acidity ya heaviness feel hoti hai.
Kabhi-kabhi halka discomfort hota hai, lekin regular nahi hai.
Digestion bilkul theek rehta hai, koi problem feel nahi hoti.
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