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Prevent Heart Attack - Surge Health
We are building India's first care program to help you prevent or reduce the risks of a heart attack. Join the waitlist and you will be the first one to get access to the program built using the latest science and tech.
Name
*
Mobile Number
*
Email
*
Which city are you based in?
*
How old are you?
*
Gender
*
Gender
A
Male
B
Female
C
Trans
D
Other
Do you have any family history of cardiovascular issues?
*
Do you have any family history of cardiovascular issues?
A
Yes
B
No
Do you know someone who had a heart attack?
*
Do you know someone who had a heart attack?
A
Yes
B
No
What's your primary motivating factor for this?
*
Where did you learned about us?
*
Where did you learned about us?
A
Offline
B
Social Media
C
Friend
D
Other
Submit
