Health Assessment "*" indicates required fields Step 1 of 28 3% Over the last 2 weeks, how often have you been bothered by any of the following problems?Feeling nervous, anxious or on edge?* Not At All Several Days More Than Half the days Nearly Everyday Not being able to stop or control worrying?* Not At All Several Days More Than Half the days Nearly Everyday Trouble relaxing?* Not At All Several Days More Than Half the days Nearly Everyday Being so restless that it is hard to sit still?* Not At All Several Days More Than Half the days Nearly Everyday Becoming easily annoyed or irritable?* Not At All Several Days More Than Half the days Nearly Everyday Feeling afraid as if something awful might happen?* Not At All Several Days More Than Half the days Nearly Everyday Little interest or pleasure in doing things?* Not At All Several Days More Than Half the days Nearly Everyday Feeling down, depressed, or hopeless?* Not At All Several Days More Than Half the days Nearly Everyday Trouble falling or staying asleep, or sleeping too much?* Not At All Several Days More Than Half the days Nearly Everyday Feeling tired or having little energy?* Not At All Several Days More Than Half the days Nearly Everyday Poor appetite or overeating?* Not At All Several Days More Than Half the days Nearly Everyday Feeling bad about yourself - or that you are a failure or have let yourself or your family down?* Not At All Several Days More Than Half the days Nearly Everyday Trouble concentrating on things, such as reading the newspaper or watching television?* Not At All Several Days More Than Half the days Nearly Everyday Moving or speaking so slowly that other people could have noticed?* Not At All Several Days More Than Half the days Nearly Everyday Thoughts that you would be better off dead, or of hurting yourself in some way?* Not At All Several Days More Than Half the days Nearly Everyday Feeling Stressed, burdened or hassled?* Not At All Several Days More Than Half the days Nearly Everyday What are the key reasons for your stress/ anxiety?* Relationships Family Health Financial Work Job Security Physical WellbeingGender* Male Female Your Age*Weight (Kgs)*Height (ft)*Height (in)*How long do you exercise in a day?*How long do you exercise in a day?No activity/ Desk jobExercise 1-3 times/weekExercise 4-5 times/weekExercise 6-7 times/week Do you have any known health conditions?* Diabetes PCOS Hypertension Physical Pain(Back/ Neck / Knee) Thyroid Cholesterol Heart Disease None of the above Any family member suffering from these conditions?* None Diabetes PCOS Hypertension Physical Pain(Back/ Neck / Knee) Thyroid Cholesterol Heart Disease Do you experience any of these things?* None Pee a lot Always Thirsty Always Hungry Feel very tired Sudden Lose of weight Blurry vision How often do you smoke in a day?* Don’t smoke at all Less than 5 Between 5 to 10 More than 10 How many drinks do you have in a week?* Don’t drink at all Less than 5 Between 5 to 10 More than 10 How many hours do you Sleep daily?* Less than 4 hours 4 to 6 hours 6 to 8 hours More than 8 hours How often do you face difficulty sleeping?* Not at all Several Days Nearly Everyday Do you feel the need for a Wellbeing program (Therapy, Yoga, Physio, Dietician) for employees? Yes No All done! Enter the following details to get the result (your details will be kept confidential)Name Email Company Name HiddenDepartment HiddenOthers HiddenCompany Name Hidden HiddenProduct Code Hidden HiddenCoupon Code Hidden Phone HiddenYour Anxiety ScoreHiddenLow Anxiety Text HiddenMild Anxiety Text HiddenModerate Anxiety Text HiddenSevere Anxiety Text HiddenYour Depression ScoreHiddenLow Depression Text HiddenMild Depression Text HiddenModerate Depression Text HiddenSevere Depression Text HiddenYour Stress ScoreHiddenAnxiety Score valueHiddenDepression Score valueHiddenBMI Stress Value HiddenLow Stress Text HiddenMild StressText HiddenModerate Stress Text HiddenSevere Stress Text HiddenOverall Mental HealthHiddenLow Overall Text HiddenMild Overall Text HiddenModerate Overall Text HiddenSevere Overall Text HiddenBMIHiddenUnderweight BMI Text HiddenOverweight BMI Text HiddenNormal BMI Text HiddenBMRHiddenDiabetesHiddenLow Diabetes Text HiddenMild Diabetes Text HiddenHigh Diabetes Text HiddenSleepHiddenMedium Sleep Text HiddenHigh Sleep Text HiddenhypertensionHiddenLow Hypertension Risk Text HiddenHigh Hypertension Risk Text Hiddenphysical