Virtual Checkup

Want to find out if you are at risk or currently have hypertension? Find out on our virtual checkup which will guide you through a list of questions. By participating in this checkup, you’ll gain valuable insights into your blood pressure and weight gain risks and receive personalized recommendations for the next steps to take for better health.

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Just Fill out the form below and press SUBMIT

First Name

Last Name

Email *

Phone *

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General Health and Lifestyle Current Health Conditions:

Do you have a diagnosis of high blood pressure or any cardiovascular issues?

Are there other health conditions you are managing?

If Yes, What other Issues are you managing?

Medication and Supplements:

Are you currently taking any prescription medications or over-the-counter drugs?

If so, what are they?

Do you take any dietary supplements or herbal remedies regularly?

Dietary Habits:

Can you describe a typical day of eating for you?

What meals and snacks do you usually have?

How much sodium, sugar, and processed foods do you consume on a regular basis?

Do you have any dietary restrictions or preferences (e.g., vegetarian, low-carb)?

Physical Activity:

How often do you engage in physical exercise or activity?

What types of activities do you do?

Have you experienced any barriers to regular exercise, such as time constraints or physical limitations?

Hydration:

How much water do you typically drink each day?

Do you consume caffeinated or alcoholic beverages?

If so, how much and how often?

Stress and Sleep:

How would you rate your stress levels on a scale from 1 to 10?

What are the main sources of stress in your life?

What is your sleep pattern like?

Do you have trouble falling asleep or staying asleep?

Family History:

Is there a family history of high blood pressure, heart disease, or obesity?

If Yes, which one is it?

Are there any other hereditary conditions you are aware of?

Specific Symptoms and Concerns:

Have you experienced any symptoms such as frequent headaches, dizziness, or lightheadedness?

Do you experience shortness of breath, especially during physical activity or while at rest?

Have you noticed any swelling in your legs, ankles, or hands?

Do you have any chest pain or discomfort that occurs occasionally or frequently?

Weight and Body Measurements:

What is your current weight and height?

Have you noticed any recent changes in your weight or body measurements?

If so, what changes?

Lifestyle Challenges:

What challenges or obstacles do you face in maintaining a healthy lifestyle?

Are there any specific goals you have related to your health, weight, or blood pressure?

Previous Interventions:

Have you tried any specific diets, weight loss programs, or natural remedies in the past?

If so, what were the results?

Have you ever worked with a nutritionist, dietitian, or other health professional before?

Personal Goals:

What are your main health goals (e.g., lowering blood pressure, losing weight, improving overall wellness)?

Are there particular types of foods or herbs you enjoy or dislike?

Support System:

Do you have a support system or network that helps you with your health goals (e.g., family, friends, support groups)?

How open are you to making changes in your diet or lifestyle based on new recommendations?

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