Quiz Test – Vital Insight

The Basics

Family and Medical History

Lifestyle & Concerns

The End

A health screening package, specially crafted just for you

We help you put together the tests and screening profiles, recommended for you based on your unique self. To get started, we’ll be gathering information from you about your medical history, lifestyle, diet and screening needs.

Ready to create your intentional health screening package?

Privacy Policy & Disclaimer: This service does not provide medical advice and is not intended to diagnose, treat, cure or prevent any disease. Rest assured that your responses to these questions will be kept strictly private and confidential.

Do you have any known allergies? Select all that apply.

Select all

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Drug allergy (i.e. NSAIDs, Penicillin, etc.)

Food allergy (i.e. Seafood, nuts, etc.)

Environmental factors (i.e. dust mite, pollen, etc.)

Not that I know of

Do you have G6PD deficiency?

Yes

Not Sure

G6PD deficiency is a genetic disorder. It’s when the body doesn’t produce enough of an enzyme called G6PD which helps protect our red blood cells from harmful substances.

When it comes to health screening, you…

Are completely new to it

Have not done any blood tests or health screening for many years

Have done some blood tests or health screening within the last 2-3 years

Regularly do annual health screenings

Now that we’ve gotten the introductions out of the way, let’s get down to business!

Let’s talk a bit more about you and your history…

Now that we’ve gotten the introductions out of the way, let’s get down to business!

Let’s talk a bit more about you and your history…

How many cigarettes do you smoke per day on average?

Less than 10 sticks

Between 10-20 sticks

More than 20 sticks

How many cigarettes did you smoke per day on average?

Less than 10 sticks

Between 10-20 sticks

More than 20 sticks

...

How much do you drink per week on average?

A standard alcoholic drink is defined as a can (330 mL) of regular beer, half a glass (100 mL) of wine or 1 nip (30 mL) of spirit

Less than 7 standard drinks

7-14 standard drinks

More than 14 standard drinks

A standard drink is equivalent to 341ml of Beer / 100ml of wine / 43ml of spirits (vodka, gin, whiskey, etc.)

How much did you drink per week on average?

A standard alcoholic drink is defined as a can (330 mL) of regular beer, half a glass (100 mL) of wine or 1 nip (30 mL) of spirit

Less than 7 standard drinks

7-14 standard drinks

More than 14 standard drinks

A standard drink is equivalent to 341ml of Beer / 100ml of wine / 43ml of spirits (vodka, gin, whiskey, etc.)

...

How would you describe your diet?

I eat a balanced diet! (at least 2-3 servings of vegetables a day and 1 serving of meat/fish a day)

I’m vegetarian (no meat)

I’m primarily a meat-eater

I’m on a specific diet (i.e. Vegan, Paleo, Keto, Pescatarian, etc.)

Great! now that that's out of the way…

Great! now that that's out of the way...

We want to make sure that we recommend you the tests based on your needs and requests.
So we'd like to ask a couple more questions to make sure we're on the same page before we send you a recommendation!

OK, got it! Which email address should we send your results to?

By checking this box, you confirm that you have read and agreed to our Privacy Policy.
By clicking on "See my recommendations", you also consent to receiving communications and email updates from us. We promise to protect your email, and you can unsubscribe at any time.

A health screening package, specially crafted just for you

What should we call you?

How old are you this year?

What's your biological gender?

Do you have any known allergies? Select all that apply.

Please specify your allergies and the kind of reaction that occurs.

Do you have G6PD deficiency?

When it comes to health screening, you…

When did you last undergo health screening?

Why are you interested in undergoing health screening today?

Which of these symptoms bother you? Select all that apply.

Which of these symptoms bother you? Select all that apply.

Please specify what other symptoms are bothering you.

Have you ever been vaccinated against Hepatitis A, Hepatitis B and/or HPV (cervical cancer/genital warts)?

Now that we’ve gotten the introductions out of the way, let’s get down to business!

Now that we’ve gotten the introductions out of the way, let’s get down to business!

Let’s talk a bit more about you and your history…

Now that we’ve gotten the introductions out of the way, let’s get down to business!

Let’s talk a bit more about you and your history…

Let’s talk a bit more about you and your history…

Okay! Let’s move onto family & medical history.

Do you have any past or known medical history?

Please select the appropriate medical conditions from this list. Select all that apply.

Please specify other medical conditions

What type of cancer? Select all that apply.

Please specify other cancer type

Are you on regular follow up with a doctor for the specified condition?

Do any of your immediate family have a past or known medical history/condition?

Please select the appropriate medical conditions from this list. Select all that apply.

Please specify other medical conditions

What type of cancer? Select all that apply.

Please specify other cancer type

Okay, got it! Moving on…

Okay, got it! Moving on…

Do you smoke?

How many cigarettes do you smoke per day on average?

How many cigarettes did you smoke per day on average?

How long have you been smoking?

How long were you smoking like this?

How long has it been since you stopped smoking?

Are you frequently exposed to second hand smoke?

Do you drink alcohol?

How much do you drink per week on average?

How much did you drink per week on average?

How long have you been drinking?

How long were you drinking like this?

How long has it been since you stopped drinking?

How would you describe your diet?

How often do you spend at least 20-30 min under the sun (at least on your face and hands, without sunscreen)?

Are you currently taking any vitamins/supplements?

Please specify your vitamins/supplements

Do you exercise for at least 150 mins per week?

(i.e. 3x 60-min sessions or 5x 30-min sessions)

How much exercise do you do per week?

What exercises do you usually do? Select all that apply.

Have you ever been sexually active?

Do you usually engange in protected or unprotected sex?

Have you had more than 1 sexual partner?

Do you have any specific concerns that you'd like to investigate further? Select all that apply.

Great! now that that's out of the way…

Great! now that that's out of the way...

Would you be keen to undergo any imaging tests (scans/X-rays) to further assess your risk(s)?

Are you interested in taking preventive vaccines for Hepatitis if found to be lacking in immunity?

When was your last pap smear?

Would you be interested in tests which may help to determine your cancer risk?

Are you interested in assessing your gut micro-biome to determine various disease risks?

OK, got it! Which email address should we send your results to?

Sit tight!We’re crafting a package specially for youbased on your answers.

Sit tight!
We’re crafting a package specially for you
based on your answers.