Your BMI is:
You are
GENERAL INFORMATION
1. What is your Name?*
2. What is your Age?*
BODY MASS INDEX
3. What is your Weight?*
**Weight is measured in KG**
4. What is your Height?*
**Height is measured in Feets**
COVID-19 INFORMATION
5. Are you facing the following Issues?
Cough
Fever
Sore Throat
Chest Congestion or runny nose
Body Ache
Difficulty in Breathing
Loss of Taste and Smell
Pink Eyes
Hearing Imapairment
Gastrointestinal Symtoms
STRESS INFORMATION
6. Do you feel little interest in doing things?*
Yes
No
7. Do you Feel down, depressed, or hopeless?*
Yes
No
8. Are you troubling to fall or stay asleep, or sleeping too much? *
Yes
No
9. Do you feel tired or having little energy?*
Yes
No
10. Are you having poor appetite or overeating?*
Yes
No
11. Are you feeling bad about yourself?*
Yes
No
12. Are yo getting trouble concentrating on things?*
Yes
No
13. Are you moving or speaking so slowly that other people could have noticed?*
Yes
No
14. Do you get thoughts that you would be better off dead, or of hurting yourself?*
Yes
No
15. Are these problems distracting you for your aim?*
Yes
No
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