May we have your name please?

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May we have your mobile number please?

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What is your city of residence?

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What is your gender?

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What is your age?

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What kind of work do you do?

Please select your job type.
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How many hours do you work daily?

Please select the number of hours you work per day.
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How much time do you spend in front of a screen daily?

Please select your daily screen time in hours.
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What do you do in your free time?

Please select your activity preferences.
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Are you engaged in exercise or any kind of physical activities?

Please select an option to proceed.
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How many days a week do you eat out?

Please select how often you eat out per week.
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Do you smoke or drink alcohol?

Please select an option to proceed.
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How many hours per week do you engage in physical activities or sports?

Please select time spent on physical activity.
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What is your profession?

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How stressful is your work?

Please provide your stress level.
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Do you have any existing medical condition?

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Details About You

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Work Life Balance

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Hobbies & Habits

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Profession

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Medical Condition

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