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Immunity Assessment Test

Name

Phone

City

Do you suffer from recurrent stomach, intentional & bowel disorders ?

Do you have high level of stress? are you losing your temper frequently / do you suffer with anxiety depression ?

Are you suffering from any chronic disease such as hypertension / diabetes / thyroid disorder / cardiac complaints ?

Are you chronic smoker alcoholic ?

Do you have a family history of any major disorder such as hypertension, diabetes mellitus / thyroid / cancer / blood disorders / TB / cardiac ailments / allergy / asthma ?

Do you suffer with frequently cold & cough ?

Do you exercise on regular basis (3 time & more in a week )

Are you taking any medication on regular basis ?

Is your sleep pattern disturbed ?