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Health Status

How physicly active are you?:

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What kinds of food do you eat?:

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How many vegetables do you eat in a day?:

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How many fruits do you eat in a day?:

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How many glasses of water do you drink in a day?:

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How much alcohol do you drink?:

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Do you smoke?:

Medical Information

Have you ever been operated? If so...what happened?:

If you've never been operated, unless you want to say something anyway, you can leave the space blank. If that's the case, we hope your luck stays with you forever. The content of this field is kept private and will not be shown publicly.

Do you take any kind of prescripted drugs? If so...what are they for?:

Again, if you don't take any drugs...High Five! The content of this field is kept private and will not be shown publicly.

Do you have a medical condition? If so...what is it? :

If you don't have a medical condition...please, please, please...keep taking care of yourself. You're doing really good. You can also leave the space blank. The content of this field is kept private and will not be shown publicly.

If you have a medical condition, are you being treated? If so...how?:

If you don't have a medical condition, you're obviously not being treated. Leave the space blank. The content of this field is kept private and will not be shown publicly.

Do you do yoga, consult a massage therapist or do something to pamper your health? Tell us about it :

If you don't take yoga, have a massage therapist nor do something to pamper your health...why not? The content of this field is kept private and will not be shown publicly.

Mental Well-Being

What do you think of yourself?:

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What do you think of your life?:

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What do you think of those around you?:

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Are you in control of your emotions?:

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How many times a day do you smile?:

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How often do you have fun?:

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Do you have dreams and projects?:

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Personal information

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Age:

Country: *

Personal Information

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The Medical Expert Report

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