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Weight loss
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Name
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Age
Your answer
Weight
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Height
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BMI
Your answer
Whats app number
Your answer
Issue details - When started, How many years, Present condition
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Any weight gain in the last one year ( from 5-10 kg)
Your answer
Any particular problem because of excess Weight
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Digestive issues - Gastric , acidity, constipation
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Lethargy
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5
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Bone and muscle pains?
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Immunity issues - Respiratory, Frequent illness ..?
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Skin and hair problems?
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Menstrual issues ?
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Thyriod, Pcod, Heridatiry?
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Any long term medication?
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Any other health problems ( Like Diabetis, BP, heart problems, liver and kidney issues?
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Exercise?
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Stress levels
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5
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Sleep (How many hours)
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Any method tried previously?
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