questionnaire

Personalised Nutrition Plan Questionnaire

Please Note - Our advice does not replace care provided by your own medical practitioner(s). The information provided by health or other professionals as part of the Plan or content in any form, is not medical or any other type of health service or advice. No diagnosis or treatment of, or advice regarding, any medical or mental health condition or illness will be offered.Bio-Alai® is not a substitute for healthcare, diagnosis, and treatment when a medical condition, symptoms or illness is present..

Q1. Gender at Birth?

Q2. Do you want to lose weight?

Q3. Have you ever been diagnosed with any of the following conditions or do any of the following apply? (Choose all that apply)

Q4. Do you currently have any of the following symptoms listed below? (Choose all that apply)

Hot flushes Weight gain Fluid retention
Hair loss Anxiety Depression
Rapid skin ageing Fatigue Brain Fog

Q5. Do you have any of the following Autoimmune conditions listed below? (Choose all that apply)

Q6. Have you ever been diagnosed with any of the following Allergic conditions listed below? (Choose all that apply)

Q7. Do you have any of the following Inflammatory conditions? (Choose all that apply)

Q8. Do you currently have any of the symptoms or risk factors listed below? (Choose all that apply)

Q9. Do you currently have any of the symptoms or risk factors listed below? (Choose all that apply)

Q10. Do you currently have any of the symptoms or risk factors listed below? (Choose all that apply)

Q11. Choose your dietary preferences

BEFORE YOU PRESS SUBMIT

Please ensure you have chosen the correct responses, including dietary restrictions. If you choose "Yes", please tick all boxes that apply in that section. Please note, if you choose "YES" in questions 4, 8 and 9 and tick less than 3 boxes, the algorithm will register this as a "NO" but will integrate this information with your remaining responses to choose the correct plan for you.

questionnaire