Q.1 How concerned are you about your health?
I consciously take care of my wellbeing
I’m all right, but should make time to get fit
I’ll deal with health problems when they come up
Q.2 How often do you go for your health check-up?
Once in six months
Once in a year
Once in two years
Only, if required
Q.3 Do you have a family history of:
High blood pressure
Q.4 Where do you usually get information about ailments or treatments that you are concerned about?
Magazines / Newspapers
Friends / Relatives
Q.5 How physically active are you in your everyday life (not including exercise)?
I’m always on the go
Q.6 How much time do you spend exercising every week ?
2 hours or less
2 to 5 hours
More than 5 hours
Don’t exercise at all
Q.7 In the last one year, which healthy habits and diet changes have you implemented to improve or maintain your health?
Q.8 Do you check food packaging for nutrition information?
Q.9 Have you used / would you consider using any of these?
Low calorie foods
Q.10 If yes,why do you use them?
Q.11 Which of the following are important when you choose health products or treatments,and why?
Recommendations from friends and relatives
Q.12 If needed, will you consider going overseas for medical treatment?
Q.13 In what case would you consider availing medical treatment overseas?
Malfunction of the heart
Malfunction of the eye
Neurological surgery / treatment
Medicine and surgery with pregnancy/childbirth
Q.14 How much do you and your family members spend annually on health insurance?
Q.15 May Reader's Digest contact you for more information?
Never submit passwords through Google Forms.
Terms of Service