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Ayur Jagruti For Youths
For age group: 18-30 years
First name
*
Phone
*
Email
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Address
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What are you doing now to maintain Health?
I don't do much. It’s just there
I eat healthy
I try and stay away from unhealthy stuff
I have a regular routine and a wholesome plan to take care of my health
Do you think Optimum Health is a status that you can attain easily at this point in your life?
Yes
No
Are you facing any of the following that you would like to overcome?
Information overload
Too many tabs open in my mind
Anxiety
Impulsive behavior
Lack of confidence
Over thinking
Perfectionism
Difficulty expressing
Laziness
Procrastination
Impatience
Lack of consistency
Lack of discipline
Addictive tendencies
Obsessions to food or any other habits
Dejection
Feeling unworthy
Burnout
None of the above
Others
Are you aware of any health condition running in your family (diabetes, high BP, thyroid dysfunction, baldness, etc.) that might be a concern to your own health in the future?
Yes, I would like to improve on this
No such concerns
Which aspect of your life would you like to improve?
Better energy
Better sleep
Better digestion
Improve focus, concentration and memory
Better time management
No allergies
No sick days
None of the above
Have you ever wondered why your health goes up and -down without any reason?
Yes
No, I am all good
Is your health not up to the mark even though you do so much to take care of it?
Yes
No
Are you confused why some foods / habits affect only you but not others around you?
Yes
No
Never thought about it
Do you feel your energy levels do not match your age?
Yes
No
Did you know that the same factors that drive your personality also maintain your health?
Yes
No
Any specific questions regarding your health that you would like answered?
Something is coming up. It may answer all these questions. Would you like to stay in touch for more details?
Yes
No
Maybe
Submit
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