Increase in body fat

Decreased muscle mass

Lowered physical strength

Reduced desire

None of these

Difficulty in emptying bladders

Weak urine stream

Frequent urge to pass urine

None of these

I have an irregular menstrual cycle

I constantly experience PMS symptoms

I have hormonal acne breakout

I experience menopausal symptoms

None of these

I am not a nursing mother

I am a nursing mother and producing sufficient milk for my baby

I am a nursing mother but not producing sufficient milk for my baby

Hot flush or night sweats

Mood swing

Varicose vein

Vaginal dryness

None of these

Pain or burning sensation during urination

Frequent or persistent urge to urinate

Blood stained, cloudy or foul-smelling urine

None of these

Fall sick easily

Poor healing capacity

Persistent coughing or nasal discomforts

None of these

I sleep well most of the days

I have trouble falling asleep

I have trouble staying asleep throughout the night

I have trouble falling and staying asleep throughout the night

I stay up late at night

I drink alcohol regularly

I am a heavy smoker

I work in a polluted environment

I am on long-term medication

None of these

I have lustrous and shiny hair

My hair is dry and brittle

My hair is falling out consistently

I am experiencing premature hair greying

Frequent back, neck or shoulder pain

Professions involved long hour sitting, standing or lifting heavy objects

Have poor posture

None of these

Less than 5 hours a day

5 to 10 hours a day

More than 10 hours a day

Yes

No

Being forgetful

Cold or numbness on hands and feet

Difficult to focus

None of these

Rarely

At least once a month

At least once a week

Underweight (<18.5)

Normal (18.5 – 24.9)

Overweight (25.0 – 29.9)

Obese (≥30)

I have oily face which is prone to acne breakout

I have pigmentation and dark spots

I have uneven skin tone

I have wrinkles and fine lines

None of these

I do not experience any joint pain

My knee creaks when I bend

My joints are stiff when I wake up

My joints swell and it hurts when I move

I seldom drink milk

I seldom exercise

I smoke

I drink alcohol regularly

I have a family history of osteoporosis

None of these

Frequent diarrhea

Lactose intolerance

Constipation

Indigestion after heavy meal

None of these

Eats a variety of food

Has picky eating habits

Yes

No

Yes

No

Rarely

Once in a while

Often

Orange

Apple