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Sleep Duration
<5 Hours
5-6 hours
>6 hours
Sleep Quality
Mostly disturbed
Occasionaly distubed
Good Quality and wake up refreshed
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Immunity
>2 Episodes of illness in Last 6 months
1-2 episodes of mild illness in last 6 months
0 illess in last 6 months
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Exercises
Sedentary with occasional exercise
< 3 hours a week
>3 hours a week
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Existing Lifestyle disorders
2 lifestyle disorders (Example Hypertension , Diabetes , Polycystic Ovarian Syndrome , Anxiety etc )
1 lifestyle disorders (Example Hypertension , Diabetes , Polycystic Ovarian Syndrome , Anxiety etc )
None
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Existing Medication
None
Occasionally ( for example pain , or fever, indigestion etc )
On regular medication since last 6 Months
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Hospitalisation history
None
1 in last 2 years
>1 in last 2 years
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Stress levels
Occasionally
Low grades or moderate levels of stress but am able to manage
Am feeling bogged down with too many stressful events
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Family History
No Lifestyle Disorders in Both parents
'One or both Parents' is having a health disorder controlled by medication
'One or both Parents' is having a serious health disorder
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Body Parameters (Weight)
Obese
Overweight / Underweight
Normal Weight Range
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Consumption of Convenience Foods & fried foods
Daily
2-3 times a week
Less than once a week
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Tobacco / Smoking / Pan Consumption
None
Less than once a week
>2 / Week
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Alcohol
None
Less than once a week
>2 / week
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Results of the last health Check reports
All Parameters were Normal
1-2 Parameters were slightly beyond Normal
>2 Parameters were out of Normal Range
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Fruits Consumption
Fruits >1 fruit a day
Twice a week
Less than once a week
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Vegetables Consumption
Vegetables > 300 gms a Day
In 1 meal only
Less than once a week
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Salads Consumption
Salads > 200 gms a day
1-2/ week
Less than once a week
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Natural Oils
Nuts and Oil seeds Daily
1-2/ week
Less than once a week
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