Sex, Age & Lifestyle

What sex do you consider yourself to be?

What age group do you fall into?

On average, how often do you consume alcohol each week?

Men are advised not to drink more than 14 units per week

On average, how often do you smoke cigarettes each week?

Smoking has a significant impact on your health and wellbeing.

On average, how frequently do you exercise each week?

This means some form of physical activity for at least a 30 minute period.

What age group do you fall into?

On average, how often do you consume alcohol each week?

Women are advised not to drink more than 14 units per week

On average, how often do you smoke cigarettes each week?

Smoking has a significant impact on your health and wellbeing.

On average, how frequently do you exercise each week?

This means some form of physical activity for at least a 30 minute period.

Are you currently pregnant?

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Which of the following options best describes your diet?

Description goes here...

Behavioural

Anxiety

Never
Always

Cognitive Impairment

Never
Always

Confusion

Never
Always

Decreased Focus

Never
Always

Depression

Never
Always

Dizziness

Never
Always

Fatigue

Never
Always

Irritability

Never
Always

Poor Coordination & Balance

Never
Always

Weakness

Never
Always

Circulatory

Anaemia

Never
Always

Excessive Bleeding

Never
Always

Fast Heartbeat

Never
Always

Feeling Cold

Never
Always

Frequent Nosebleeds

Never
Always

High Blood Pressure

Never
Always

Irregular Heartbeat

Never
Always

Low Blood Pressure

Never
Always

Oedema

Never
Always

Slow Heartbeat

Never
Always

Digestive

Bleeding Gums

Never
Always

Bloating

Never
Always

Constipation

Never
Always

Diarrhoea

Never
Always

High Blood Sugar

Never
Always

High Cholesterol

Never
Always

Increased Appetite

Never
Always

Inflamed Mouth

Never
Always

Lack of Appetite

Never
Always

Low Blood Sugar

Never
Always

Nausea

Never
Always

Weight Gain

Never
Always

Weight Loss

Never
Always

Eye

Irritated Eyes

Never
Always

Macular Degeneration

Never
Always

Night Blindness

Never
Always

Retinopathy

Never
Always

Vision Problems

Never
Always

Blurred Vision

Never
Always

Cataracts

Never
Always

Conjunctivitis

Never
Always

Corneal Ulcers

Never
Always

Corneal Vascularisation

Never
Always

Dry/inflamed Eyes

Never
Always

Eye Redness & Burning

Never
Always

Immune

Increased Risk of Respiratory Infections

Never
Always

Increased Vulnerability to UTIs

Never
Always

Slow Wound Healing

Never
Always

Weakened Immune System

Never
Always

Musculoskeletal

Rickets

Never
Always

Bone Pain

Never
Always

Dental Problems

Never
Always

Increased Risk of Fractures

Never
Always

Joint inflammation

Never
Always

Joint Pain

Never
Always

Muscle Cramps

Never
Always

Muscle Pain

Never
Always

Muscle Stiffness

Never
Always

Muscle Weakness

Never
Always

Osteomalacia

Never
Always

Osteoporosis

Never
Always

Nervous

Abdominal Pain

Never
Always

Burning Feet

Never
Always

Headaches

Never
Always

Impaired Taste or Smell

Never
Always

Increased Sensitivity to Pain

Never
Always

Nerve Damage & Neuropathy

Never
Always

Nightmares

Never
Always

Peripheral Neuropathy

Never
Always

Photophobia

Never
Always

Psychosis & Hallucinations

Never
Always

Seizures

Never
Always

Tingling / Numbness in Hands & Feet

Never
Always

Other

Breathing Difficulties

Never
Always

Goiter

Never
Always

Hormonal Imbalances

Never
Always

Increased Thirst

Never
Always

Sexual

Loss of Libido

Never
Always

Menstrual Irregularities

Never
Always

Fertility Problems

Never
Always

Heavy or Prolonged Menstrual Bleeding

Never
Always

Kidney Stones

Never
Always

Skin

Angular Cheilitis

Never
Always

Baldness

Never
Always

Brittle Nails

Never
Always

Cracked Lips

Never
Always

Dermatitis

Never
Always

Difficulty in Maintaining Healthy Skin

Never
Always

Dry & Brittle Hair

Never
Always

Dry Skin

Never
Always

Glossitis

Never
Always

Hair Loss

Never
Always

Itchy Skin

Never
Always

Mouth Sores & Ulcers

Never
Always

Pale Skin

Never
Always

Premature Greying

Never
Always

Skin Infections & Acne Breakouts

Never
Always

Swollen & Sore tongue

Never
Always

Thickening of Skin

Never
Always

Your Results are Ready!

Where should we email them?