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Basic Information
Getting To Know You
Health Conditions
Health Screening
How old are you ?
19-30 years
31-40 years
41-50 years
51-60 years
Above 60 years
What is Your Gender ?
Male
Female
Do you have any of the following health conditions?
High Cholesterol
High Blood Pressure
Diabetic
All Of The Above
None
When was your last health screening or check-up?
1-2 years
More than 2 years ago
Never
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