Health Questionnaire | myDNAhealth

Date of Birth*

Sex*

Select height/weight units*

Please select your height and weight measuring units

Height in cm*

Please enter a number from 50 to 250.

Metric height in centimeters

Weight in Kg's*

Enter your weight in Kilograms

Height in feet/inches*

Select your height form the dropdown box

Weight in pounds*

Enter your weight in pounds

Waist in centimeters*

Waist in inches*

Hip measurement

Hip measurement in centimeters

Hip measurement

Hip measurement in inches

Smoker

Do you smoke?

Alcohol consumption

Please indicate your alcohol consumption

Exercise

Do you exercise for more than 30 mins

Blood Pressure

If you have had your blood pressure taken recently

Adrenal Test

Have you recently had your adrenals tested