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Help us understand your diabetes better

Please fill our short confidential questionnaire. It will help us better understand your diabetes and advice you with the right treatment

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Step 1 of 6

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What is your age (in years)?*

Your Gender*

Male

Female

What is your diabetes type?*

Prediabetes

Type 1

Type 2

I don't know

Other

What other conditions do you suffer from?

Hypertension

Obesity

High Cholestrol

Muscles, bones or joints issue

Kidney issues

PCOS

Stress / Anxiety disorders

Others

What do you want our treatment?

Reversing your diabetes

Reducing blood sugar

Losing weight

Having more energy

Eliminating medication

Treating related issues - Hypertension & Stress

Other

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Phone*

Email*

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MantraCare

Mantra Care aims at providing affordable, accessible, and professional health care treatment to people across the globe.

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Name*

Company*

Email*

Country*

City*

Phone*

No. of employees*

This field is for validation purposes and should be left unchanged.

Help us understand your diabetes better

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