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Prenatal Health Assessment Quiz

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Your Name

Your Email ( Here,You’ll receive your Free Report from Dr. Sharayu!)

WhatsApp Number

In which Trimester are you in your pregnancy?

First

Second

Third

How do you rate your current physical fitness level?

How often do you experience discomforts like back pain or swelling?

6. How often do you eat nutrient-dense foods (fruits, vegetables, whole grains)?

How often do you consume high-sugar or processed foods?

9. How do you ensure you’re meeting your hydration needs?

Do you plan your meals ahead to ensure balanced nutrition?

How would you rate your overall mood during pregnancy?

How often do you feel overwhelmed by the changes during pregnancy?

How supported do you feel by your partner/family during this time?

How do you prioritize your health and wellness during pregnancy?

Do you feel you have enough knowledge or information about prenatal nutrition and wellness?

How important is it for you to have a tailored nutrition plan for your pregnancy?

Very important

Important

Somewhat Important

Not Important

How often do you research about prenatal health and wellness on the internet?

Regularly

Occasionally

Rarely

Never

Do you have specific nutritional goals you want to achieve during pregnancy?

Yes, clear goals

Some goals

Not very clear goals

No goals

Are you considering postpartum nutrition and wellness plans?

Yes, very interested

Maybe

Not really

Would you be interested in receiving a personalized detailed Nutrition & Wellness Plan for your prenatal & post-pregnancy phase from our expert?

I have a plan prescribed by my gynaec or Dietician

I’m thinking about it & lookin for a nutritionist specializing in pre-natal & post-partum nutrition & wellness

I haven’t considered it

No plan at all

What resources would you find most beneficial as you prepare for motherhood?

Nutrition guidance for pre-natal & post-partum phase of pregnancy

Mental health support during & after pregnancy

Physical fitness tips for pre-natal phase & post-partum recovery

How do you plan to address emotional changes after the baby arrives?

I have a plan purchased from a woman wellness expert

I’m thinking about it & looking for a wellness expert who specializes in mind, mindset and mental Health.

I haven’t considered it

No plan at all.

Do you prioritize your physical & mental well-being?

Check all the symptoms & traits relevant to you

Dry, rough, or cracked skin

Thyroid & increasing weight

Thyroid & losing weight

Diabetes, Pre-diabetic or borderline diabetes/ INSULIN RESISTANCE

High blood pressure, high cholesterol & triglycerides along with palpitations on being stressful or anxious sometimes

LOW BP

PCOD/PCOS ( polycystic ovary )

Obesity & Over-weight

Too thin/ under-weight

Dandruff, itching & dull dry hair

Dandruff, scaly scalp, itching & oily hair

Acne & blemishes

Excessive skin dryness

Low Energy & tiredness

Low Immunity & easily prone to seasonal changes or seasonal infections like cold, cough or flu

Poor Digestion & upset stomach problems

Hormonal imbalance

Lack of sleep / insomnia

Brittle nails

Excessive hair fall or thinning

Cold hands and feet

Sensitivity to cold weather

Joint pain, stiffness, cracking sounds in joints

Muscle twitching, spasms, tremors

Unintentional weight loss or difficulty gaining weight

Dry or chapped lips

Irregular digestion, bloating, excessive gas, constipation

Weak or low appetite (fluctuates often)

Dizziness, vertigo

Insomnia, disturbed sleep, difficulty falling asleep

Rapid, shallow breathing

Restlessness, hyperactivity

Anxiety, worry, excessive overthinking

Forgetfulness, poor memory, lack of focus

Mood swings, nervousness, fearfulness

Feeling overwhelmed or scattered

Impulsive decisions, lack of consistency

Easily distracted, difficulty completing tasks

Speech becomes fast, unclear, or erratic

Excess body heat, feeling hot often

Excessive sweating with a strong odor

Skin issues like acne, rashes, redness, inflammation, boils

Oily skin and scalp, prone to breakouts

Sensitivity to sunlight, sunburns easily

Early graying or thinning of hair

Acid reflux, hyperacidity, heartburn

Loose stools, diarrhea, or frequent bowel movements

Excessive hunger and thirst

Strong cravings for spicy, salty, and fried foods

Strong body odor or bad breath

Yellowish discoloration of skin or eyes

Sharp, penetrating eyesight (but prone to redness, irritation, or burning sensation)

High energy levels, but prone to sudden exhaustion

Prone to headaches and migraines

Light sleep, often wakes up due to heat or dreams

Irritability, anger, short temper

Perfectionism, high expectations of self and others

Intense competitiveness, over-ambition

Impatience, intolerance to mistakes

Judgmental or critical behavior

Prone to jealousy and resentment

Obsessive focus, difficulty relaxing

Strong willpower but burnout due to overwork

Weight gain, difficulty losing weight

Sluggish digestion, slow metabolism

Feeling heavy, lethargic, sleepy throughout the day

Frequent congestion, sinus issues, mucus buildup

Water retention, swelling in hands, feet, puffiness on face

Excessive salivation, thick coating on the tongue

Low appetite but still prone to weight gain

Nausea or sluggish digestion after meals

Oily skin, prone to cystic acne

Greasy or thick hair, excess oil production on scalp

Cold body temperature, intolerance to cold and damp weather

Frequent colds, cough, allergies, asthma, respiratory issues

Sleepiness, difficulty waking up in the morning

Dull, slow reflexes

Slow but steady energy throughout the day

Feeling emotionally heavy, lack of enthusiasm

Depression, sadness, withdrawal from activities

Attachment to people, things, and habits

Resistance to change, difficulty letting go

Over-indulgence in food, especially sweet and comfort foods

Procrastination, lack of motivation

Brain fog, slow thinking, difficulty processing information

Excessive sleep, oversleeping, feeling tired even after rest