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First name
*
Last name
*
Email
*
Phone
*
Height ( inches)
Weight ( Lbs )
Gender
*
Male
Female
Others
Range of your Age
*
< 21 years
21 ~ 35 years
36 ~ 45 years
45 ~ 55 years
55~ 65 years
65 ~ 75 years
> 75 years
Your most fitting occupation for daily routine
*
Long hours Desk-Based Work >6 hours
Physically Demanding Work
On-Feet Active Work
Driving-intensive Work
Mixed Activity Work
High Physical Performance-based work
Retired
Student
Remote/Home Based Work
Your Interested Topics
*
Spine Health
Cardiovascular Health
Anti-Aging
Better Sleep
Diabetes
Weight & Shape Management
Other
When was the last time you did any physical exercise?
Yesterday
Last Week
2 weeks before
4 weeks before
How often do you usually engage in physical activity each month
>12
4 < X < 12
1< X < 4
< 1
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