You can always press Enter⏎ to continue
Sign Up
START
1
Are you happy to give us some info about yourself to help improve our product, or just want to signup?
Sure, I'll give some info!
No, I just want to signup.
Previous
Next
Submit
Press
Enter
2
Thanks for offering to help! What is your name?
Previous
Next
Submit
Press
Enter
3
Can we know your age?
*
This field is required.
No
I'm 29 or younger
I'm in my 30's
I'm in my 40's
I'm in my 50's
I'm over 59
Previous
Next
Submit
Press
Enter
4
Bother to tell us your gender?
*
This field is required.
Yes!
Male
Female
Non-binary
Previous
Next
Submit
Press
Enter
5
What is your main objective?
*
This field is required.
Feel and be healthier
Live longer
Look better
Just lose some weight
I'm just curious!
Previous
Next
Submit
Press
Enter
6
How much of your day will you commit to becoming healthier?
*
This field is required.
Doing changes to your diet, exercise, reading/viewing content, etc
Up to 5 minutes
Up to 15 minutes
Up to 30 minutes
Up to 1 hour
Whatever it takes!
Previous
Next
Submit
Press
Enter
7
How often can we engage you?
*
This field is required.
With guidance, reminders & nudges
5 times a day
15 times a day
30 times a day
Previous
Next
Submit
Press
Enter
8
What areas are you prepared to work on?
*
This field is required.
Select all applicable
Sleep
Diet, Nutrition & Hydration
Physical Conditioning & Activity
Stress & Anxiety Management
Tobacco & Alcohol consumption
Previous
Next
Submit
Press
Enter
9
What challenges are you facing in your life?
Select all applicable
None, I'm good!
Lack of time
Lack of Sleep
High levels of Stress
Depression or Anxiety
Previous
Next
Submit
Press
Enter
10
Any underlying clinical conditions?
*
This field is required.
Select all applicable
None
Diabetes
High Cholesterol
Elevated Blood Pressure
Muscular, Joint or Skeletal pains
Others
Previous
Next
Submit
Press
Enter
11
What changes to your diet & nutrition are you ready to make?
*
This field is required.
Select all applicable
Improve Hydration level
Reduce harmful foods in diet
Eat healthier & balanced meals
Reduce quantity
Reduce Snacking & Cravings
Previous
Next
Submit
Press
Enter
12
What types of physical activity would you be ready to try?
Select all applicable
Slightly increase my physical activity
Improve my posture, flexibility & balance
Start walking regularly
Jogging or running
Previous
Next
Submit
Press
Enter
13
What Smartphone do you use?
*
This field is required.
Android
iPhone
Previous
Next
Submit
Press
Enter
14
Which Wearables or Smart meters do you own?
Select all applicable
None
Smart Band or Smart Watch
Smart Scale
Blood Pressure meter
Glucose meter
Previous
Next
Submit
Press
Enter
15
What is the brand & version of your SmartBand or SmartWatch?
Apple Watch 7
Apple Watch 6
Apple Watch 5
Apple Watch (Series 4 or older)
Apple Watch SE
Samsung Galaxy 5
Samsung Galaxy 4
Samsung Galaxy 3
Samsung Galaxy 2 series or older
Fitbit Versa 3
Fitbit Versa 2
Fitbit Versa 1
Fitbit Charge 5
Fitbit Charge 4
Fitbit Charge 3 or older
Fitbit Ace 3
Fitbit Ace 2 or older
Fitbit Inspire 2
Fitbit Inspire 1
Xiaomi Mi Watch
Xiaomi Watch S1
Xiaomi POCO Watch
Xiaomi Smart Band 7
Xiaomi Smart Band 6
Xiaomi Smart Band 5
Xiaomi Smart Band 4 or older
Xiaomi Redmi Smart Band Pro
Huawei Band 7
Huawei Band 6
Huawei Band 5
Huawei Band 4 or older
Huawei WATCH Fit 2
Huawei WATCH Fit 1
Huawei WATCH Fit Mini
Huawei WATCH Fit New
Huawei WATCH Fit Elegant
Huawei WATCH GT3
Huawei WATCH GT2
Huawei WATCH GT Runner
Withings ScanWatch
Withings Steel HR
Withings Move ECG
Withings Pulse HR
Garmin Venu
Garmin Forerunner
Garmin Instinct
Garmin Epix
Garmin Fenix
Garmin VivoActive
Polar Pacer Pro
Polar Vantage
Polar Grit X
Polar Ignite
Polar Unite
Polar Vantage
Other (not listed)
Apple Watch 7
Apple Watch 6
Apple Watch 5
Apple Watch (Series 4 or older)
Apple Watch SE
Samsung Galaxy 5
Samsung Galaxy 4
Samsung Galaxy 3
Samsung Galaxy 2 series or older
Fitbit Versa 3
Fitbit Versa 2
Fitbit Versa 1
Fitbit Charge 5
Fitbit Charge 4
Fitbit Charge 3 or older
Fitbit Ace 3
Fitbit Ace 2 or older
Fitbit Inspire 2
Fitbit Inspire 1
Xiaomi Mi Watch
Xiaomi Watch S1
Xiaomi POCO Watch
Xiaomi Smart Band 7
Xiaomi Smart Band 6
Xiaomi Smart Band 5
Xiaomi Smart Band 4 or older
Xiaomi Redmi Smart Band Pro
Huawei Band 7
Huawei Band 6
Huawei Band 5
Huawei Band 4 or older
Huawei WATCH Fit 2
Huawei WATCH Fit 1
Huawei WATCH Fit Mini
Huawei WATCH Fit New
Huawei WATCH Fit Elegant
Huawei WATCH GT3
Huawei WATCH GT2
Huawei WATCH GT Runner
Withings ScanWatch
Withings Steel HR
Withings Move ECG
Withings Pulse HR
Garmin Venu
Garmin Forerunner
Garmin Instinct
Garmin Epix
Garmin Fenix
Garmin VivoActive
Polar Pacer Pro
Polar Vantage
Polar Grit X
Polar Ignite
Polar Unite
Polar Vantage
Other (not listed)
Previous
Next
Submit
Press
Enter
16
What is the brand & version of your SmartScale?
Fitbit Aria Air
Fitbit Aria 2
Fitbit Aria
Withings Body Cardio
Withings Body+
Withings Body
Xiaomi Mi Smart Scale 2
Xiaomi Mi Smart Scale
Huawei Scale 3
Huawei Scale 2
Huawei Scale
Other (not listed)
Fitbit Aria Air
Fitbit Aria 2
Fitbit Aria
Withings Body Cardio
Withings Body+
Withings Body
Xiaomi Mi Smart Scale 2
Xiaomi Mi Smart Scale
Huawei Scale 3
Huawei Scale 2
Huawei Scale
Other (not listed)
Previous
Next
Submit
Press
Enter
17
What data are you ready to share with us?
*
This field is required.
To support personalisation and allow you to track and monitor your progress
Mood & Energy levels
Meal & Nutritional intake
Data from Wearables & Smart Meters
Blood analytics
Previous
Next
Submit
Press
Enter
18
Anything else you'd like us to know?
we mean.... anything....
Previous
Next
Submit
Press
Enter
19
What's your email address so we can get back to you?*
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
19
See All
Go Back
Preview PDF
Submit