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About You
Health Basics
Activity
Nutrition
Sleep
Lifestyle
Remarks
Contact Details

Tell us about yourself

We begin with a few basic details to create your Health Score profile.

Basic Information

Your name, age, gender and location help us create the correct patient and family profile.

Title
Gender
Localities will appear automatically after a valid PIN code.
Select Your Locality
Enter a 6-digit PIN code to load locality options.

Health Basics

These measurements and current health details form the base of your primary Health Score profile.

Height
Saved to database in centimeters.
No value will be saved if you select this option.

Any health complaints at present *

Family History of Chronic Diseases *

Exercise / Physical Activity

Your movement, activity pattern and daily physical routine.

1How often do you exercise or walk atleast 6000-7000 steps a week?
2How long do you sit continuously during the day?

Nutrition

Your food choices, meal pattern and everyday nutrition habits.

1How many servings of fruits/vegetables do you eat daily?
2How often do you consume processed/junk food?
3Water intake per day?
4Balanced Food(protiens,Carbohydrates,Fats,Vitamins and Minerals)

Sleep / Recovery

Your sleep quality, recovery and rest pattern.

1How many hours do you sleep every night?
2Do you feel fresh in the morning?
3Do you use mobile/laptop before sleeping?
4Vaccination up to date?

Stress / Lifestyle Habits

Your stress, coping habits and lifestyle risk factors.

1Stress levels in daily life:
2Alcohol consumption/Tobaco or Smoke
3Do you go for yearly health check-ups?
4How satisfied are you with your current health?
5How often do you meditate/relax?

Additional Health Information

(Please share any other health concerns, past health history, symptoms, or questions that are not covered in the above questions.)

0/1500 characters

Contact Details

Enter your email address and WhatsApp number to continue securely.

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How did you hear about us? *
Please select the option that best describes where you found Healthy Life Healthcare.
+91
Please enter your active 10-digit WhatsApp number.
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Your information is submitted securely to Healthy Life Healthcare. Health Score is a preventive risk-awareness workflow and is not a medical diagnosis.

Verify Your WhatsApp Number

Enter the 4-digit OTP sent to to verify your number and continue.

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Your Health Score information is already saved

We already have your assessment details securely saved. You do not need to complete the form again. To receive your Health Score, please continue to the payment options and complete your payment.

Your saved assessment will remain linked to your profile while you continue this payment session.

Do you have diagnostic reports from the last 3 months?

Please tell us whether you already have recent reports available.

Please upload your basic test reports: FBS, HbA1c, CBC, LFT, Creatinine, Lipid Profile, TSH, Urine R/E, ECG. If you have separate reports, select them together; they will be merged into a single PDF before submission.

If you have not done these tests, you can choose our reasonable packages.
If we get more health information about you, we can create a more accurate Health Score.
Select one or more PDF/JPG/PNG reports. Multiple files will be combined into one PDF.

See Our Packages

These packages include your Health Score.