What is your Gender? *
What is your Age? *
What is your waist measurement? (Male > 90, Female > 80) *
Any Family member with Diabetes? *
Do you eat High Glycemic index fruits very often?( Mango, Chiku, Custard apple, Banana, Water melon, Grapes etc.) *
Do you eat Junk food very often? ( Burgers, Pizzas ,Chinese, Wadapav, Panipuri etc.) *
Are you physically active?(45 min brisk walking or equivalent 5 days every week) *
Is your work physically demanding? *
How often do you check your sugar levels? *
What does your previous diabetes report indicate? *
Have you ever been diagnosed with high blood pressure? *
What does your previous cholesterol report indicate? *
Fill in your details below
Name *
Email ID *
City *
Mobile No. *
Captcha *
* indicates required fields.