Question 1/11

How old are you?

Question 2/11

What is your gender?

Male

Female

Question 3/11

Your BMI :

Calculate your BMI

Enter Height ft in

Enter Weight kg

Question 4/11

Your BMI : 28.5 (OverWeight)

Do you exercise?

I exercise Regularly

Once or twice a Week

A few times a Month

I Hardly Exercise

Question 5/11

Your BMI : 28.5 (OverWeight)

How often do you eat out?

Everyday

Once or twice a week

A few times a month

I hardly eat out

Question 6/11

Your BMI : 28.5 (OverWeight)

Have you been stressed lately?

Yes

No

Question 7/11

Your BMI : 28.5 (Overweight)

Are you Diabetic?

Yes

No

I don’t know

Question 8/11

Your BMI : 28.5 (OverWeight)

How long have you been Diabetic?

Question 9/11

Your BMI : 28.5 (OverWeight)

What was your last HbA1c?

Question 10/11

Your BMI : 28.5 (OverWeight)

Do you take any Medicines?

Yes

No

Question 11/11

Your BMI : 28.5 (Overweight)

Are you on Insulin?

Yes

No

Enter your details to map out your health journey and see your result

Name

Whatsapp Number

Email (Optional)

Question 8/9

Your BMI : 28.5 (Overweight)

Have you contacted COVID?

Yes

No

Question 9/9

Your BMI : 28.5 (Overweight)

Is there a history of Diabetes in the family?

Yes

No

Enter your details to map out your health journey and see your result

Name

Whatsapp Number

Email (Optional)