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Virtual Clinics
OPD
Appointments
Second Opinion
Health Check Ups
Chronic Care
Diabetes
Weight Loss
Cardiac Rehab
COVID 19 Home Care
Heal Thy Life
Digital Health
Virtual Practice
App for Patients
Health Trackers
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YT Channel
Patient Portal
Inquiries
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About Us
Contact Us
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Corporate Wellness
Search for:
Is Your Lifestyle Healthy?
Is Your Lifestyle Healthy?
Pooja Kulkarni
2021-08-10T16:03:20+05:30
Dear All
Lifestyle Survey to get started towards a “Healthy You”.
Is your Lifestyle Healthy ?
If you are human, leave this field blank.
Name
*
Employee id
*
Location
*
Kurkumbh
Hadapsar
Patalganga
Vashi & Warali
Dahej
Current Weight (Kg)
*
Height (in centimetres)
*
Do you have breakfast Everyday
Yes
No
Sometimes
Do you have meals on regular time?
Yes
No
Do you consume more than 2 liters (more than 10-12 glasses of water daily?
Yes
No
Do you frequently eat out?
Yes
No
Do you smoke ?
Yes
No
Sometimes
Do you consume alcohol ?
Yes
No
Do you consume more than 2 cups of tea/coffee every day?
*
Yes
No
Sometimes
Do you exercise for at least 4 days or 150 min/ week?
*
Yes
No
Do any of your family members have Diabetes/ High blood pressure/Obesity/Heart Disease?
Yes
No
Are you satisfied with your health?
Yes
No
Do you have enough energy to do your every day activity?
Yes
No
May be
Do you have a sound sleep?
Yes
No
Do you think you have a stress freelife?
Yes
No
Are you satisfied with your health?
Yes
No
Submit