Questionnaire For Analysis

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We request you to please fill in the following questionnaire (Time Required ~2 mins).
This will help us greatly in analyzing your sample and give you comprehensive nutritional and probiotic recommendations.

Bugspeaks Barcode ID *

Ex:BS000000

Test is for *

Self

Relatives

First Name *

Last Name *

Email ID *

Mobile No *

Age *

Gender *

Male

Female

Others

Height [in cm] *

Weight [in kg] *

Major Diet Type? *

Vegetarian

Vegetarian + Egg

Vegetarian + Fish

Non-Vegetarian

Do you drink alcohol? *

No

Yes

Do you smoke? *

No

Yes

Do you work out? *

No

Yes

"Are you taking any medicines/drugs"? Kindly mention if you wish *

No

Yes

Please let us know your preferred meal type? *

North Indian

South Indian

Continental

South East Asian

Emirati

Bulgarian

Brazilian

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BugSpeaks® is brought to you by Leucine Rich Bio Pvt Ltd. - Asia’s First and only Clinically Verified Microbiome Test

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About

Test

Office Address

Leucine Rich Bio Pvt Ltd
2nd Floor, HSG Anush, 33,
15th Main Road, JP Nagar 4th Phase,
Bangalore 560078

+91-973-9099-468

[email protected]