"*" indicates required fieldsStep 1 of 137%Before we begin, what is your first name?Name*What is your biological gender?*FemaleMaleRather not sayThis field is hidden when viewing the formQ1 YinThis field is hidden when viewing the formQ1 YangWhat is your age group?*Below 2121 to 4041 to 5455 and aboveDo you usually prefer to drink beverages in cold or warm?*ColdWarmThis field is hidden when viewing the formQ3 YinThis field is hidden when viewing the formQ3 YangDo cold drinks upset your stomach?*YesNoSometimesThis field is hidden when viewing the formQ4 YinThis field is hidden when viewing the formQ4 YangDoes eating a salad dish upset your stomach?*YesNoSometimesThis field is hidden when viewing the formQ5 YinThis field is hidden when viewing the formQ5 YangDo you have cold hands and feet even during the summer?*YesNoSometimesThis field is hidden when viewing the formQ6 YinThis field is hidden when viewing the formQ6 YangDo you usually speak loudly?*YesNoMost timesThis field is hidden when viewing the formQ7 YinThis field is hidden when viewing the formQ7 YangDo you feel tired frequently without a good reason?*YesNoMost timesThis field is hidden when viewing the formQ8 YinThis field is hidden when viewing the formQ8 YangDo you often feel irritated? Even over things that are not so important?*YesNoMost timesThis field is hidden when viewing the formQ9 YinThis field is hidden when viewing the formQ9 YangDo you have frequent food craving*YesNoWhat type of food do you crave for the most? (Only one choice)*Sweet treatsSalty foodSour foodFatty foodSpicy foodWhich of the health conditions you want to work on the most?*Prone to cold and fluSeasonal allergyLow energyDigestive issueAlleviate acne caused by hormone fluctuationWeakened immunitySkin, hair and joints healthLiver and brain damages caused by alcohol consumptionYou can select up to 3 optionsWhat is your Email?We’ll use this to save your recommendation, and send you more information about your results and health journey with Karviva.Email*This field is hidden when viewing the formYin SumThis field is hidden when viewing the formYang SumThis field is hidden when viewing the formYin or YangYou are YinYou are Yang
