Fatty liver program Step 1 of 41 2% Name(Required) Mobile Number(Required) What occupation are you in?(Required) Corporate office (like infosys, Bain, Deloitte, Wipro, Shell, Flipkart, Reliance) Public sector (PSUs, Police) Startup office (Cred, Byjus etc) Self Employed Home Maker Field Work Other Mention your Weight(Required)Mention your Height(Required) Do you have fat around your stomach?(Required) Yes No For how long have you been diagnosed with Fatty liver?(Required) 0-3 Months 3-9 Months >12 Months >2-3 years Do you have Diabetes?(Required) Yes No For how long have you been diagnosed with Diabetes ?(Required) 0-3 Months 3-9 Months >12 Months >2-3 years Do you have Blood pressure?(Required) Yes No For how long have you been diagnosed with Blood pressure?(Required) 0-3 Months 3-9 Months >12 Months >2-3 years Do you have High Cholesterol?(Required) Yes No For how long have you been diagnosed with high cholesterol?(Required) 0-3 Months 3-9 Months >12 Months >2-3 years Have you experienced rapid weight loss in the past?(Required) Yes No Are you currently dealing with muscle wasting or muscle loss?(Required) Yes No Have you observed persistent gastrointestinal problems ?(Required) Nausea Vomiting Diarrhea Constipation Difficulty chewing or swallowing None Select All Have you observed stomach fullness or bloating problems recently?(Required) Yes No I don't know Have you noticed a decrease in appetite or a reduction in the amount you eat compared to before?(Required) Yes No I don't know Have you experienced loss of taste?(Required) Yes No I don't know Do you often experience fatigue or sluggishness when you wake up in the morning?(Required) Yes No I don't know How frequently do you experience feelings of fatigue, tiredness, or weakness throughout the day?(Required) 0 2-3 Always Do you experience any upper abdominal pain?(Required) None Very Severe Moderate Severe Mild Very Mild None What is your urine color?(Required) Yellow White Dark Yellow Have you observed any of the below symptoms(Required) Confusion Irritability None How was the sleep quality since past few months(Required) Got a good sound sleep Sleep disturbance Insomnia due to the pain Do you drink alcohol? Have you had a history of alcoholism?(Required) Yes No If yes, pls select the frequency(Required) Daily Weekly 3-4 Weekly 1-2 Once in 15 days Once a month Very occaissionally Do you have any other habits than Alcohol(Required) Smoking Chewing Tobacco None Select All Which activities set you feel you will be able to do(Required) I can complete 10000 steps a day I can complete 7000 steps a day I can complete 5000 steps a day I can complete 2000 steps a day I am not active What type of exercises do you follow consistently?(Required) Walking Running/ Jogging Weight training Yoga Pilates Don't workout Play a sport - football, basket ball, cricket, badminton Select All What is the frequency per week(Required) Daily 6 days a week 3-4 times a week 1-2 a week During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health?(Required) Cut down the amount of time you spent on work or other activities Accomplished less than you would like Didn't do work or other activities as carefully as usual Select All As a result of any emotional problems during the past 4 weeks, have you had any of the following problems with your work or other regular daily activities?(Required) Reduced time spent on tasks or activities Achieved less than desired Engaged in work or activities with less attention to detail than usual Select All During the past 4 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?(Required) Extremely Quite a bit Moderately A little bit Not at all What dietary regime do you follow ?(Required) Intermittent fasting 2 meals a day 3 meals a day 4-5 meals a day Select All Which food items you like the most?(Required) Which food items you don't prefer to eat(Required) Mention if you have any food allergies(Required) Do you often have cravings for sweets?(Required) Yes No Which regional foods or flavors do you find yourself inclined towards the most?(Required) South indian North indian How often do you consume outside food(Required) Daily 2-3 times a week 4-5 times a week Once a week Once in 15 days Once a month Very occasional Which regional foods or flavors do you find yourself inclined towards the most?(Required) South Indian North Indian North East Indian West East Select All What is your approach to adapting a new diet(Required) I take my time in researching a new diet or habit and then try it out I tend to buddy up with a friend or family memner to make a new habit I start off strong but then lose the motivation I need to sit with an idea before making the mind to invest in it I need someone to handhold me I struggle to find time for new habits What is your food preference?(Required) Veg Non Veg Vegan Gluten Free Eggetarian Other Select All How much water do you usually drink in a day?(Required) <1l/day 1-1.5 L/day 1.5-2.5 L/day >2.5 L/day
