What's your name? ^*

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What's your email? ^*

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What's your goal? ^*

I want to improve my health and performance

I want to understand what's causing my health challenges

I'm tired of getting nowhere with traditional healthcare

I want to stay healthy and strong for my family

I am unsure

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Tell us more about yourself

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What is your sex as recorded on your birth certificate? (Required) ^*

Male

Female

Prefer not to say

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How old are you? ^*

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Weight (kg) ^*

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Height (cm) ^*

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What is your waist circumference in cm? If unknown please mention your pant size. (Required) ^*

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What is your hip circumference in cm? If unknown please mention your pant size. (Required) ^*

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Do you currently or ever smoke any tobacco products? (Required) ^*

Yes

No

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How often do you consume alcoholic drinks? (Required) ^*

None

Monthly or less

2–4 times/month

2-3 times/week

4 or more times per week

Prefer not to answer

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In a typical week, on how many days do you do at least 30 minutes of moderate or vigorous physical activity? (Required) ^*

0 days

1-2 days

3-4 days

5-6 days

Everyday

Prefer not to answer

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What is the highest level of education you have completed? (Required) ^*

Primary

Secondary

Undergraduate

Postgraduate

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What is your occupation? ^*

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Please share your health history with us

Some of the questions may seem odd to you but we want to be thorough

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Has a doctor ever told you that you have high blood pressure (hypertension)? (Required) ^*

Yes

No

Don't know

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Has a doctor ever told you that you have high sugar (diabetes)? (Required) ^*

Do you know?
1 in 2 people with diabetes do not know they have it before getting complications

Yes

No

Don't know

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Which type of diabetes was it? ^*

Type 1

Type 2

Diabetes in pregnancy

Don't know

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How long have you been diagnosed with high blood sugar (diabetes)?

In years, 0.5 if 6 months

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Are you currently under the care of a doctor? ^*

Yes

No

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What is the reason for this?

/

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Have you been hospitalized recently? ^*

Yes

No

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What was the cause of your hospitalization?

/

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Are you taking any anti-hypertension drugs? (Required) ^*

Example are amlodipine, captopril, valsartan and others

Yes

No

Don't know

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Are you taking any blood sugar lowering (anti-diabetes) drugs? (Required) ^*

E.g. metformin, dapagliflozin etc

Yes

No

Don't know

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Are you taking any other medications right now?

Yes

No

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Which medication(s) are you taking?

/

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Can you manage your own medication plan? ^*

I can take medication in correct dosages at the correct time

I can if medication is prepared in advance, in separate dosages

I need assistance to take my medication

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Do you ...  ^*

	Yes	No
have a new, persistent or changed cough? (Persistent >8 weeks)

cough up mucus (watery fluid) or phlegm (thicker)?

get out of breath more easily than others your age?

experience chest tightness or wheeze?

experience recurrent chest infections?

cough up blood or have blood in your mucus or phlegm? If the answer is yes, please seek medical help immediately.

experience chest pain or have unexplained weight loss?

ever worked in a job that exposed you to dust, gas or fumes?

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Rate your hearing ability ^*

1 → Poor

5 → Excellent

Poor Excellent

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Rate your vision ^*

1 → Poor

5 → Excellent

Poor Excellent

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How does the food you consume usually look like?

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How often do you add salt to your food at the table? (Required) ^*

Never

Occasionally

Often

Always

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How often do you eat ...  ^*

	Never	Monthly or less	Weekly	Several times per week	Daily	Prefer not to answer
fresh fruits and vegetables?

processed meat (e.g., bacon, sausages)?

eat red meat (e.g., beef, lamb)?

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Has food intake declined over the past 3 months due to loss of appetite, digestive problems, chewing or swallowing difficulties? (Required) ^*

Yes

No

Don't know

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Weight loss during the last 3 months (Required) ^*

Does not know

Greater than 3 kg

Between 1 and 3 kg

No weight loss

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How's your sleep and your body feel?

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How many hours do you sleep on average? (Required) ^*

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Do you have insomnia (difficulty sleeping)? (Required) ^*

Yes

No

Don't know

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How frequent do you experience ...  ^*

	Not at all	Several days	More than half the days	Nearly every day
little interest or pleasure

feeling down, depressed, or hopeless

trouble with sleep or sleeping too much

fatigue or having little energy

appetite issues

negative self-perception

trouble concentrating

changes in psychomotor activity

thoughts that you would be better off dead or of hurting yourself in some way

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Do you snore? (Required) ^*

Yes

No

Don't know

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Have you suffered psychological stress or acute disease in the past 3 months? (Required) ^*

Yes

No

Don't know

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Can you ....  ^*

	Yes	No
extend your arms above your head?

get up from a chair?

climb stairs on your own?

open a screw top bottle on your own?

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Does your left and right hand grip have equal strength? (Required) ^*

Yes

No

Don't know

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Share a day in your life

Only a few questions left after this

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How does your day usually look like? ^*

/

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Can you use phones? ^*

Uses the mobile phone independently, including searching for numbers, dialing, and using WhatsApp

Needs some help: Dials some numbers saved on my mobile phone

Answers the mobile phone but cannot dial a number

Cannot use the mobile phone at all

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Can you go to places outside walking distance? ^*

I travels independently on public transportation, or drives own car

I arrange my own travel via taxi/Uber

I require assistance to travel

Does not travel at all

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Do you shop for your needs? ^*

I takes care of all my shopping needs independently

I shop independently for small purchases

I need to be accompanied on any shopping trip

Completely unable to shop

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How do you handle finances? ^*

Manages financial matters independently (budgets, writes checks, pays rent and bills, goes to bank); collects and keeps track of income

Manages day-to-day purchases but needs help with banking, major purchases, controlled spending, and so on

Incapable of handling money

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What's your ability to use electrical appliances? ^*

For example: washing machine, dryer, dishwasher, microwave, electrical oven, and vacuum cleaner

Can use electrical appliances without assistance

Needs some help to use electrical appliances

Cannot use electrical appliances at all

Has never used these devices before / Don’t know

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Do you use a wearable? ^*

E.g. smartwatch, continuos glucose monitor, smart ring, bluetooth devices

Yes

No

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Please upload results from your wearable from the past 6 months (Optional)

Feel free to upload as much or little as you can

If you are unsure how to export, screenshots of the result curve from the apps are also fine.

You can drag & drop or paste as well

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Have you done a blood test or other diagnostic test the past 2 years? ^*

Examples would be a chest X-ray, electrocardiogram of your heart rhythm, CT-Scan etc.

Providing some or all of these information would significantly improve our analysis of your health status

Yes

No

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Do you want to upload any of those diagnostic test results? ^*

Yes

No

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Please upload your diagnostic test results

All blood tests and other diagnostic (e.g. X-ray, CT-scan and others) results within the past 2 years that you have, the more complete the better our assessment of your health and biological age

You can upload PDFs, camera or scan pictures of the report/images

You can drag & drop or paste as well

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Confirm your email to get your report after validation by our expert doctor panel ^*

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Please enter your phone number ^*

We will SMS or WhatsApp the link to your results as well.
This will also be used to verify access to your report.

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Would you like to just get a report with your health status or also with actions to improve it? ^*

Just my health status

Please also include actions I can do to improve it

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Your assessment has been analysed by our AI

You will receive your report within 72 hours after review by our expert doctors.

Please share your feedback to us via email.

Disclaimer: Our assessment doesn't replace medical advice, please contact your health professional if you require support.

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