1 of 10

What’s motivating you to improve your health?

please select an option
2(B) of 10

Have you tried losing weight before?

please select an option
3 of 10

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
3(A) of 10

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

please select at least 1 option
3(B) of 10

Do you use medication for your skin condition/s?

please select at least 1 option
3(C) of 10

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

please select at least 1 option
3(D) of 10

What treatment are you currently taking for your sleep issues?

please select at least 1 option
4 of 10

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

5 of 10

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

6 of 10

What is your biological sex?

please select an option
7 of 10

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

please select at least 1 option
8 of 10

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

please select an option
8(A) of 10

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

please select an option
8(B) of 10

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
9 of 10

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

10 of 10

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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