1 of 10

What’s motivating you to improve your health?

please select an option
2 of 9

Are you currently dealing with any of these health challenges?

Select all that apply. Highlight the i for more information.
please select at least 1 option
2(A) of 9

What treatment are you currently taking for your digestive health problems?

please select at least 1 option
2(B) of 9

Do you use medication for your skin condition/s?

please select at least 1 option
2(C) of 9

What treatment are you currently taking for your mental health issues?

please select at least 1 option
2(D) of 9

What treatment are you currently taking for your sleep issues?

please select at least 1 option
3 of 9

Please confirm your birthdate so we can determine your eligibility for the program

4 of 9

Please confirm your height and weight so we can determine your BMI and eligibility for the program

5 of 9

What is your biological sex?

please select an option
6 of 9

Please specify your ethnicity/race. This helps us to deeply personalize your care in the program.

please select at least 1 option
7 of 9

Do you have a bluetooth scale to weigh yourself at least once a week?

please select an option
7(A) of 9

Great! How would you like to add your weight to the Digbi Health app?

please select an option
7(B) of 9

Would you like to receive a Digbi-compatible Bluetooth scale to automatically record your weight (at zero cost to you, paid for by your employer)?

please select an option
8 of 9

Please provide your contact information so our care team is able to connect with you and support you on your Health journey.

9 of 9

Lastly, you’re one step away from unlocking your testing kits! Kindly let us know your address so we know where to send them.

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