Оценка состояния здоровья Шаг 1 из 16 6% Before Starting Please provide us with the following information:Gender Male Female I'd rather not share Birthdate ДД слеш ММ слеш ГГГГ HeightHeightcmftWeightWeightKgsLbsPreferred destination Aleenta Пхукет-Пханг Нга Aleenta Хуа Хин-Пранбури Aleenta Чиангмай Length of stayPlease provide us with the following information: The number and type of health objectives you can select will depend on the length of stay you choose. 4 Days 7 Days 10 Days 15 Days What are your main health goals? Longevity and Prevention Cognitive function optimization Healthy weight Detox and digestive system optimization How often do you exercise?Please, choose one Never Once a week 2-3 days per week 4 or more days a week Rate your current stress level Low Moderate High How often do you feel muscular or joint pain or discomfort?Please, choose one. Never Occasionally Often Rate the quality of your sleep Very Good Good, with room for improvment Far from optimal How often do you experience digestive issues (bloating, constipation)?Please, choose one Never Occasionally Often Rate your current cognitive ability (memory, concentration, mental clarity)Please, choose one Very Good Good, with room for improvement Not so good Far from optimal Have you experienced a lack of energy lately?Please, choose one No Да Do you frequently feel any tension in your neck, back or shoulders? No Да Rate your sexual vitalityPlease, choose one. Very good Good, with room for improvement Not so good Far from optimal Rate your current mood or emotional well-beingPlease, choose one. Very good Good, with room for improvement Not so good Far from optimal Any diagnosed medical conditions to be considered?Please, choose one Да No Please specifyPlease, choose as many as needed Stroke (with sequelae) Anorexia - BMI <17.5 Anticoagulated Arrhythmias Arthritis Asthma Active cancer Ischemic heart disease Severe heart disease Recent surgery Chronic corticosteroids Dementia Pregnancy (First Trimester) Pregnancy (Second Trimester) Pregnancy (Third Trimester) Autoimmune diseases IBD: Crohn's disease, ulcerative colitis, diverticulitis, intestinal polyps. Parkinson's disease Epilepsy COPD Multiple sclerosis Pulmonary fibrosis Advanced liver disease Vertigo Uncontrolled hypertension Hyperthyroidism Heart failure Kidney failure Low back pain Pacemaker Migraines Pneumonia (Acute infection) Weight: >160 kg Weight >200 kg - cannot use stretchers or bathtubs Osteoporosis Metal prosthesis Bipolar disorder Immunosuppressive treatment Recent thrombosis Schizophrenia You're just about to discover the most advanced science-backed, data-driven hyper-personalized longevity program, designed only for you. You will soon receive an email including your optimized health protocol and a unique Tailor-Made program ID, allowing you to book your experience whenever you're ready.ИмяLast nameTelephone numberЭл. адрес First time at Aleenta? Да No Consent I understand my Tailor-Made program will be reviewed and modified, if necessary, by our medical team.Consent I accept Aleenta Privacy and Cookies policies
