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  1. Surveys
  2. 2017
  3. May
  4. E
  5. EyeCare
0%
Questions marked with a * are required Exit Survey
 
Contact Information
* First Name : 
* Last Name : 
Phone : 
* Email Address : 
 
 
 
* Please enter the name of your organization
   
 
 
 

How long have you been in the fitness and healthcare/eyecare business?
 
< 5
 
5-10
 
10-15
 
>15
 
 
 

How many customers do you cater to on a monthly basis?
 
<50
 
50-100
 
100-150,
 
50-200
 
>200
 
 
 

How many of your customers are in the age group 35+
 
<10%
 
10-30%
 
30-60%
 
>60%
 
 
 
*
Do you maintain complete health records of each of your customers?
 
Yes
 
No
 
 
 
*
Are there any provisions for carrying out periodic health check-ups of your customers?
 
Yes
 
No
 
 
 
*
How often are these checkups done?
 
once a month
 
once a quarter
 
once in 4 months
 
once in 6 months
 
yearly
 
 
 
*
What are the various checkups done?
 
Blood: Complete Haemogram, ESR
 
Heart: Lipid Profile, Apolipoprotein A1 / B, Lp (a), Homocysteine, High Sensitive CRP, ECG, TMT, 2D ECHO, BMI (Body Mass Index)
 
Lungs: X-Ray Chest
 
Kidneys & Bladder: Urine Routine, BUN, Creatinine, Total Proteins, Uric acid, Calcium, Phosphorus, Electrolytes
 
Stomach, Intestines & Rectum:USG Abdomen, Stool Routine (for ova, cyst and occult blood)
 
Bone/Joints: Calcium, Phosphorus, Alkaline Phosphatase, Uric Acid
 
Eye: Ophthalmology Examination
 
Obesity: Body Mass Index (BMI), Blood Sugar-F / PP, Insulin-F / PP, Thyroid Tests and Routine screening tests

 
 
 

Who carries out the health checkups?
 
In house physician
 
Tie up with clinic/hospital
 
Tie up with health startup