Keto Analysis Quiz

1

Basic Info

What is your age range?

Age affects suitability for ketogenic diet

Under 18 years

18-30 years

31-45 years

46-60 years

Over 60 years

2

What is your gender?

Gender affects personalized recommendations

Male

Female

3

Weight and Height Information

Used to calculate BMI for weight loss necessity assessment

Weight (kg)

30-200 kg

Please enter valid weight (30-200 kg)

Height (cm)

100-220 cm

Please enter valid height (100-220 cm)

--

Your BMI

15 18.5 23 25 30 35+

Underweight

Normal

Overweight

Obese I

Obese II

4

Health

Do you have any chronic conditions?

Select all that apply, or select "None"

No chronic conditions

Have Type 1 Diabetes

Have Type 2 Diabetes

Have Kidney Disease

Have Liver Disease

Have Heart Disease

Have Hypertension

Have gallbladder issues or had it removed

Have Pancreatitis

Have Thyroid Disorder

5

What medications are you currently taking?

Some medications need adjustment on keto. Select all that apply.

Not taking any regular medications

Currently taking Insulin

Currently taking oral diabetes medication (e.g., Metformin)

Currently taking blood pressure medication

Currently taking diuretics

Currently taking blood thinners (e.g., Warfarin)

Currently taking steroids

Currently taking psychiatric medication (antidepressants, sleep aids)

6

Pregnancy or breastfeeding status

Keto is not suitable for pregnant or breastfeeding women

Not applicable

Currently pregnant

Currently breastfeeding

Planning to conceive

7

Health History

What is your cholesterol level status?

Keto may affect cholesterol levels

Normal (LDL below 130)

Borderline high (LDL 130-159)

High (LDL 160+)

Taking cholesterol medication

Unknown/Never checked

8

Do you have a history of eating disorders?

Such as extreme dieting, purging after eating, or compulsive overeating

No history of eating disorders

Had eating disorder in the past, now recovered

Currently experiencing eating disorder

Have binge eating issues

9

Do you have any digestive issues?

Digestive issues may affect your keto experience

No digestive issues

Have chronic constipation

Have Irritable Bowel Syndrome (IBS)

Have Acid reflux (GERD)

Have Inflammatory Bowel Disease (Crohn's, Colitis)

Have Lactose intolerance

10

Lifestyle

What is your physical activity level?

Exercise affects carbohydrate requirements

Sedentary, little to no exercise

Light exercise 1-2 days/week

Moderate exercise 3-4 days/week

Intense exercise 5-6 days/week

Athlete/Daily training

11

How ready are you to restrict carbohydrates?

Keto requires limiting carbs to 20-50g/day

Very ready, can quit rice, bread, sugar immediately

Ready, but may need adjustment time

Somewhat ready, but worried if I can do it

Very difficult, addicted to rice/bread/sweets

Not ready, don't want to quit carbs

12

How long do you plan to do keto?

Good results require time and consistency

Long-term (6+ months)

Medium-term (3-6 months)

Short-term (1-3 months)

Just trying (less than 1 month)

Unsure