i360 Health Questionnaire

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We are here to help.

Please fill out the following form to help us understand your physical condition.


Have you been hospitalized in the last 12 months?
Are you currently a member of a medical aid?
Are you a Vegetarian or Vegan?
How often do you exercise?
Do you have pets?
Do you consume alcohol?
Do you smoke?

Mon - Fri: 8.30am - 5pm

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