Goal: Understand your cellular health across 32 dimensions.

Program (North American Edition): This audit reviews 32 wellness-related factors to generate your personalized H-Index™ score.

Note: Full completion gives the most accurate score. Partial completion will result in a "0" score, though preliminary insights may still be shown.

02. Postural Stability: Feel dizzy or blurred vision when standing up? (v_ortho) *

Perfectly stable

Occasional dizziness

Frequent vision grey-out when rising

Blackout risk

common.other_option

03. Chest Pressure: Feel "brick-like" weight on chest during exertion? (v_chest_p) *

Never

Mild

Radiating to jaw/arm

Severe

05. Exertion Breath: Need to stop for air after 2 flights of stairs? (v_breath) *

Easy

Slightly winded

Heavy gasping

Cannot finish

07. Diastolic BP: Your most recent bottom blood pressure number. (h_bp_dia) *

A. <80

B. 80-89

C. 90-99

D. >100

08. Resting Heart Rate: Typical BPM when sitting quietly. (h_resting_hr) *

A. 60-70

B. 71-85

C. 86-100

D. >100

09. Sleep Apnea: Gasping for air or stopping breath during sleep? (s_apnea) *

A. Never

B. Snoring only

C. Occasional gasping

D. Frequent

10. Acute Stress: Significant emotional/work trauma in last 30 days? (p_stress)

A. Calm

B. Manageable

C. High

D. Overwhelming

11. Cognitive Fog: Sudden loss of focus or "mental gaps"? (m_fog) *

A. Clear

B. Occasional brain fog

C. Frequent cognitive Decline/Memory Loss

D. Interferes with work

12. Pulse Perception: Does your wrist pulse feel hard like a string? (v_pulse) *

A. Soft/Elastic

B. Normal

C. Tense

D. Rigid/Hard

13. Visual Stability: Brief episodes of blurred or "gray" vision? (v_vision) *

A. None

B. Rare

C. Multiple episodes

D. Persistent

14.a. Family Vulnerability: Premature heart/stroke history in parents? (v_hist) *

A. No History

B. Direct Relatives with Hypertension

C. History of Early Stroke / Infarction

D. Both parents

common.other_option

Select the option that best describes your situation. This determines which dimensions of your H-Index™ report are most relevant to you.14.b Personal Cardiac History: Have you personally experienced a cardiac or neurological event, or been diagnosed with a heart condition? *

A. No prior cardiac event — I am focused on prevention or general health

B. Heart attack (myocardial infarction) — with or without stent placement

C. Open heart surgery — CABG (bypass), valve repair/replacement, or MICS

D. Stroke, TIA (mini-stroke), or neurological vascular event

E. Congenital heart condition (ACHD) — present from birth or diagnosed in childhood

F. Other cardiac diagnosis — arrhythmia, heart failure, cardiomyopathy, or other

G. Not sure / prefer not to say

Notice: Your answer shapes your H-Index™ report — it does not constitute medical diagnosis. Healos™ products are complementary support to your specialist care, not a replacement for it.

16. Jaw/Tooth Sensitivity: Any unusual jaw or tooth aching during physical activity? (v_jaw) *

A. None

B. Rare

C. Only during heavy exercise

D. Frequent/Persistent

17. Capillary Refill: Press your fingernail firm; how long does color take to return? (v_cap) *

A. Instant (<1s)

B. Normal (~1s)

C. Sluggish (2s)

D. Very slow (>3s)

18. Intermittent Pain: Do you feel leg cramping while walking that stops when resting? (v_calf) *

A. Never

B. Mild tightness

C. Significant pain

D. Stops walking

19. Peripheral Edema: Do your ankles show deep sock marks or "pits" when pressed? (v_edema) *

A. None

B. Slight at night

C. Moderate

D. Visible swelling

20. Heart Palpitations: Do you feel sudden "skipped beats," racing, or fluttering? (v_palp) *

A. Never

B. Rarely

C. Occasional

D. Frequent/Daily

21. Lying Flat Cough: Do you have a persistent dry cough that starts when laying down? (v_cough)

22. Central Adiposity: Your current waist circumference measured at navel level. (b_waist)

A. Athletic

B. Average

C. Overweight

D. Obese (High Visceral)

common.other_option

23. Recovery Heart Rate: Does your heart rate take >3 mins to calm after a brisk walk? (v_recovery)

A. Fast (<1m)

B. Normal (2m)

C. Slow (3-5m)

D. Remains high

24. Nervous Resilience: Feeling of "inner shaking" or unable to relax after stress? (n_hrv)

A. Resilient

B. Occasional tension

C. Hard to recover

D. Burnt out

25. Inflammatory Load: Frequent gum bleeding, joint stiffness, or skin redness? (i_crp)

A. None

B. Rare

C. Multiple symptoms

D. Chronic inflammation

26. Metabolic Dip: Extreme "brain fog" or sleepiness 30-60 mins after a meal? (m_crash)

A. Energetic

B. Slight dip

C. Strong urge to sleep

D. Daily crash

27. Maintenance: Do you wake up between 3-5 AM and struggle to fall back asleep? (s_insomnia)

A. Sleep through

B. Occasional

C. Frequent

D. Every night

28. Cardiac Vigilance: Do you find yourself monitoring your heartbeat or avoiding activities for fear of another cardiac event? (p_impending)

A. Optimistic

B. Occasional worry

C. Constant anxiety

D. Heavy dread

29. Fluid/Viscosity: Persistent dry mouth plus dark, concentrated morning urine? (v_visc)

A. Sufficient Hydration

B. Occasional thirst

C. Concentrated/Sticky

D. Chronic dehydration

30. Reaction Lag: Noticeable slowing in your physical reflexes or driving response? (n_reflex)

A. Sharp

B. Slightly slower

C. Noticeable lag

D. Significant concern

31. Ocular Pressure: Sensation of "fullness," pulsing, or pressure behind your eyes? (v_eye_p)

A. None

B. Rare

C. Frequent heavy feeling

D. Persistent pressure

32. Current Cardiac Medications: Are you currently taking any of the following medications? Select all that apply. （h_medications） *

A. No cardiac medications — I am not currently on any heart or blood pressure drugs

B. Statin — e.g. Atorvastatin (Lipitor), Rosuvastatin (Crestor), Simvastatin, Pravastatin

C. Beta-blocker — e.g. Metoprolol, Carvedilol, Bisoprolol, Sotalol, Atenolol

D. Blood thinner / Anticoagulant — e.g. Warfarin (Coumadin), Eliquis (Apixaban), Xarelto (Rivaroxaban), Aspirin (daily)

E. ACE inhibitor or ARB (blood pressure) — e.g. Ramipril, Lisinopril, Enalapril, Losartan, Valsartan

F. Diuretic (water pill) — e.g. Furosemide (Lasix), Spironolactone, Hydrochlorothiazide

G. Diabetes medication — e.g. Metformin, insulin, GLP-1 (Ozempic, Wegovy)

H. Other heart medications — e.g. Amiodarone, Digoxin, Nitroglycerin, pulmonary vasodilators

I. I take medications but I'm not sure of the category

This information is used to generate your personalised drug-nutrient interaction screen — one of the core outputs of your H-Index™ report. Your pharmacist-reviewed supplement protocol will be adjusted based on your answer. If you are unsure of the exact name, select the category that best fits.

33. Provide any additional critical symptoms or health notes. (v_override)

Data Security & Sovereign Protocol:

Your biometric signals are encrypted under the Sovereign Health Protocol. These details will strictly be used by the Gemini 2.5 CMA (Chief Medical Assistant) to synthesize your risk report and alert the Healos™ care team if critical risk indicators are identified if critical thresholds are breached.

Fullname (h_name) *

Gender (h_gender)

Email *

Phone *

I authorize the generation of my secure Bio-Data Vault and agree to the Healos™ Sovereign Covenant. I understand my data is managed under strict HIPAA and PIPEDA privacy standards and will never be shared with third-party advertisers.