Data Points

The following are the questions participants are asked to respond to in order to complete their health profile:

Age and Gender

What year were you born?
What is your gender identity?

Body Measurements

What is your height?
What is your weight?

Ethnicity

What is your ethnicity? Choose all that apply.

Smoking

How many cigarettes or other nicotine products to you smoke per day on average?

Alcohol

How many standard servings of alcohol to you consume per week on average?

Veteran

Are you a veteran?

Metal Implants

Do you have any metal implanted in your body that would prohibit you from having an MRI?

Illnesses, Conditions, Diseases

Enter all conditions you currently suffer from.
Enter all conditions you have experienced in the past but are now clear of.
(Optional) Provide any important details about your major illnesses.

Prescription Drugs

Enter all prescription drugs you regularly take.

Recreational Drugs

Which of the following drugs do you use? Choose all that apply.

Occupation

What is your current occupation? Check all that apply.

Mental Health

Do you often have suicidal thoughts?

Immunizations

Which of these diseases have you been vaccinated against? Choose all that apply.

Surgeries

What types of surgeries have you undergone? Choose all that apply.

Medical Procedures

How many times have you had the following medical procedures?

Implanted Medical Devices

Which of the following medical devices do you currently have implanted? Choose all that apply.

Pregnancy

I am pregnant and my expected due date is:
or: I am not pregnant

Travel

If interested in participating in a clinical trial, how far would you be willing to travel?

Language

Which languages are you fluent in?

Education

What is the highest level of education you have achieved?

Diet

Which diets describe your eating habits?

OTC Medications & Supplements

List over-the counter medications and supplements that you take.

Allergies

What allergies do you have?

Stress Factors

Describe psychological and stress factors in your daily life.

Pain

Describe any chronic pain you experience.

Disabilities

Describe any physical disabilities you have.

Social Support

What social support networks do you have?

Sight

Eye conditions.

Hearing

Hearing impairments.

Teeth

Dental health.

Sleep

Sleep duration and quality.

Reproduction

Which contraceptive methods do and your partner use?
Pregnancy history.
Menstrual history.
Menstrual Status.

Physical Activities

Type and frequency.

Travel

Recent travel history (especially to high health risk areas).

Work Hazards

Occupational hazards (asbestos, chemicals, noise, violence, toxins, heights, electrical, fire, repetitive motion, ergonomic, radiation, etc).

Environmental Factors

Factors affecting your health (pollution, air quality, water quality, pests, excessive heat, sanitation, hygiene, etc).

Heath Tracking Device

Which health tracking devices (smartwatches, bands, etc) do you use?

Family Medical History

Medical conditions that affect family members.

Submit Test Results

Recent lab results.
Recent imaging reports.
DNA Screening Results.