Personal details
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| Full Name * |
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| Password * |
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| Confirm Password * |
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| Email * |
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| Contact number * |
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| Emirates ID * |
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| Descent * |
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| Gender * |
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| Date of birth * |
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| Country |
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| State/ Emirate * |
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| In which category do you want participate? * |
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| Health Group * |
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| Company Name* |
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| How did you come to know about this event? *
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Biometric assesment
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| Height(in cms)* |
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| Weight(in kgs)* |
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| Waist measurement at the level of the navel (in inches)* |
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Medical history
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| Are you currently taking medication for any of the following* |
None
Blood pressure
Diabetes
Cancer
Asthma
Cardiac
Other
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Lifestyle
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| Do you eat fruits & vegetable daily ? * |
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| Do you have a family member (Parents, Siblings) with diabetes * |
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| Do you exercise 30 minutes daily ? * |
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| Can you hold your breath for 45 seconds? * |
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| Can you touch your toes without bending your knees? * |
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| Do you smoke cigarettes / drink alcohol? * |
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| Do you sleep for 6 – 8 hours daily ? * |
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| Are any of the following conditions relevant to you * |
None
Dialysis
Transplant Surgery
Undergoing cancer treatment
Hemoglobin anomalies/ Variants
Iron deficiency therapy
CABG/ Angioplasty with 3 months
CKD
Drugs Utilization of the following & similar drugs
Dapsone, Ribavirin, Antiretroviral, Corticosteroids, Antipsychotropics , Munjaro
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| I've read and agree to the contents mentioned in the
consent form
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