Fill in your health details

*What is your Name?

*What is your email

*How old are you?

*What is your gender?

Select your country

How tall are you (cm)?

What's your weight (kg)?

How big is your waist (cm)?

What is your ethnicity?

What is your level of education?

How many hours a day are you exposed to screens (smartphone, computer, TV)?

What is your marital status?

You live alone?

Do you consider yourself a happy person?

How many hours do you usually sleep per night?

How often do you experience stress at home or work?

Over the past two weeks, have you felt discouraged, depressed, or hopeless?

In the last week, did you exercise for 30 minutes or more a day?

Are you vegetarian or vegan?

How often do you expose yourself to the sun?

Do you use sunscreen?

Do you have or have you ever had any learning problems?

What is your usual alcohol consumption per week?

Do you smoke?

What is your systolic blood pressure? (Bigger number of measure)

Do you take medicine for pressure?

Do you have diabetes?

With exams in hand, answer the following questions. If you don't have your lab results, don't worry. You can always go back and complete your exam in the future, each time improving your accuracy more and obtaining new orientations.

What is your total cholesterol level (mg/dL)? (Example: 199.3)

What is your HDL cholesterol level (mg/dL)? (Example: 51.4)

What is your creatinine level (mg/dL)? (Example: 1.02)

What is your total white blood cell count (/mm³)? (Example: 6130)

What is your red blood cell count (million/mm³)? (Example: 5.13)

What is your platelet count (per uL)? (Example: 255000)

What is your 25-hydroxy-vitamin D3 level (ng/mL)? (Example: 30)

What is your vitamin B12 level (ng/mL)? (Example: 300)

What is your triglycerides level (mg/dL)? (Example: 102.3)

What is your fasting blood sugar level (mg/dL)? (Example: 85.0)

Do you have family history of any of the conditions below?


Kidney disease

Heart disease


Fracture or osteoporosis

Have you been admitted to a hospital last year?

How many times did you have an emergency trip last year?

Do you use any of the medications below?

Hormone replacement therapy

Nonsteroidal anti-inflammatory drugs (ibuprofen, aspirin, naproxen)

Tricyclic antidepressants

Other antidepressants





Other medications

Do you have a history of any of the diseases below?

Kidney disease

Arterial fibrillation

Rheumatoid arthritis

Coronary disease

Cardiac insufficiency

Valve heart disease



Chronic lung disease

Varicose veins

Inflammatory bowel disease


Peripheral vascular disease

Chronic liver disease

Gastrointestinal disease




Endocrine conditions (thyroid etc)



History of falls

Hip fracture or surgery

Kidney stones


Previous bleeds

Depression or schizophrenia

Are you or your partner pregnant?

How would you rate your physical health compared to other people your age?