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Personal details
Full Name *
Password *
Confirm Password *
Email *
Contact number *
Emirates ID *
Descent *
Gender *
Date of birth *

Country
State/ Emirate *
In which category do you want participate? *
Health Group *
How did you come to know about this event? *

Biometric assesment
Height(in cms)*
Weight(in kgs)*
Waist measurement at the level of the navel (in inches)*

Medical history
Are you currently taking medication for any of the following* None
Blood pressure
Diabetes
Cancer
Asthma
Cardiac
Other

Lifestyle
Do you eat fruits & vegetable daily ? *
Do you have a family member (Parents, Siblings) with diabetes *
Do you exercise 30 minutes daily ? *
Can you hold your breath for 45 seconds? *
Can you touch your toes without bending your knees? *
Do you smoke cigarettes / drink alcohol? *
Do you sleep for 6 – 8 hours daily ? *
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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