Registration

Fill in your details to start your health assessment

Personal Information
Lifestyle
Obesity Screening Questionnaire *

Please answer Yes or No to each question honestly. All questions are mandatory.

1 I crave for carbohydrates and sugar
2 I feel hungry immediately after eating
3 I feel sleepy immediately after eating
4 I am fond of binge eating and night snacking
5 I feel tired as I wake up early in the morning
6 I am lacking concentration
7 I lack self-confidence
8 I feel stressed and anxiety very often
9 I have bloating and constipation
10 I have black spotting at back of neck (Acanthosis Nigricans)
11 Not losing weight in spite of work outs
12 I do work out for about ½ hr to 1 hr daily
13 How many steps you walk in a day
14 I have / had continuous weight gain
15 My waist line is greater than 35 inches
16 When do you go to bed and when do you wake up?