Health Assessment

What would you like help with today?

Select one condition to start your assessment.

Sexual Health
ED, premature ejaculation, libido, STI testing
Start
PCOD / Women's Health
Periods, PCOS, contraception, fertility
Start
Mental Health
Mood, anxiety, sleep, depression screening
Start
Hair & Skin
Hair loss, acne, hyperpigmentation, rosacea
Start
Weight Management
BMI, GLP-1/Semaglutide, obesity care
Start
Sexual Health

How would you describe what's been happening?

This helps us tailor the assessment to your situation.

I have difficulty getting or maintaining an erection
I experience premature ejaculation
I have low sex drive / libido
I want to discuss STI testing
Something else
Sexual Health

How long has this been going on?

Duration helps your doctor understand the nature of the issue.

Less than 3 months
3–6 months
6–12 months
More than a year
Sexual Health

How often does it affect you?

Select the option that best describes your experience.

Occasionally
Frequently
Almost always
Every time
Sexual Health

Do you have any of the following conditions?

Select all that apply.

Diabetes or high blood sugar
High blood pressure
Heart disease
None of the above
Sexual Health

Are you currently taking any medications?

Yes
No
Not sure
Please list your medications
Sexual Health

Have you tried any treatments before?

Yes, prescription medication
Yes, over-the-counter supplements
No, this is my first time seeking help
Sexual Health

Are you allergic to any medications?

Yes
No
Not sure
Please specify your allergies
Sexual Health

Anything else you'd like your doctor to know?

Optional — but the more context you share, the better we can help.

Submitting your assessment…

Please wait a moment.

Assessment complete!

MS
Dr. Maria Santos
Sexual Health Specialist

Dr. Maria Santos will review your responses within 48 hours.

You'll receive a notification when your consultation is ready.

Women's Health

What brings you here today?

Select all that apply.

Irregular or missed periods
PCOS diagnosis or suspected PCOS
Contraception / birth control
Fertility concerns
Hormonal acne
Other
Women's Health

How regular is your menstrual cycle?

Very regular (within 2–3 days each month)
Somewhat irregular (varies by a week or more)
Very irregular / unpredictable
I don't currently have periods
Women's Health

Have you been diagnosed with PCOS?

Yes, confirmed diagnosis
I suspect I have PCOS but haven't been diagnosed
No / Not sure
Women's Health

Are you currently using any contraception?

Yes — please specify type
No, and I'd like to discuss options
No, and I'm trying to conceive
Type of contraception
Women's Health

Do you have any of these symptoms?

Select all that apply.

Acne or oily skin
Excess facial / body hair (hirsutism)
Weight gain / difficulty losing weight
Hair thinning on scalp
None of the above
Women's Health

Any relevant medical history?

Select all that apply.

Thyroid condition
Diabetes or insulin resistance
Endometriosis
None / Prefer not to say
Women's Health

Anything else for your doctor?

Optional — share any additional context.

Submitting your assessment…

Please wait a moment.

Assessment complete!

RC
Dr. Reina Cruz
OB-GYN & Women's Health

Dr. Reina Cruz will review your responses within 48 hours.

You'll receive a notification when your consultation is ready.

Mental Health

Over the last 2 weeks, how often have you felt little interest or pleasure in doing things?

PHQ-9 screening question 1 of 3

0
Not at all
1
Several days
2
More than half the days
3
Nearly every day
Mental Health

Over the last 2 weeks, how often have you felt down, depressed, or hopeless?

PHQ-9 screening question 2 of 3

0
Not at all
1
Several days
2
More than half the days
3
Nearly every day
Mental Health

Over the last 2 weeks, how often have you had trouble falling or staying asleep, or sleeping too much?

PHQ-9 screening question 3 of 3

0
Not at all
1
Several days
2
More than half the days
3
Nearly every day
Mental Health

How has this been affecting your daily life?

Not at all difficult
Somewhat difficult
Very difficult
Extremely difficult
Mental Health

Have you ever sought professional help for mental health?

Yes, and I found it helpful
Yes, but I stopped / it didn't help
No, this is my first time
Mental Health

Are you currently taking any psychiatric medications?

Yes
No
Not sure
Please list your current medications
Mental Health

Is there anything specific you'd like to discuss with your doctor?

Optional — your response is strictly confidential.

Submitting your assessment…

Please wait a moment.

Assessment complete!

JD
Dr. Jose Dela Cruz
Psychiatrist & Mental Health

Dr. Jose Dela Cruz will review your responses within 48 hours.

You'll receive a notification when your consultation is ready.

Hair & Skin

What would you like help with?

Select all that apply.

Hair loss / thinning
Acne / breakouts
Oily skin
Hyperpigmentation / dark spots
Rosacea
Other
Hair & Skin

How long have you been experiencing this?

Less than 1 month
1–3 months
3–6 months
6–12 months
More than a year
Hair & Skin

Have you tried any treatments before?

Yes, prescription treatments
Yes, over-the-counter products
No, this is my first time seeking help
Hair & Skin

Any relevant medical history?

Select all that apply.

Thyroid condition
PCOS or hormonal imbalance
Autoimmune condition
Diabetes
None of the above
Hair & Skin

Are you allergic to any medications or skincare ingredients?

Yes
No
Not sure
Please list your allergies
Hair & Skin

Upload photos of the affected area

Optional — photos help your doctor assess your condition more accurately.

Click to upload or drag & drop

JPG, PNG or HEIC · Max 10 MB per photo · Up to 3 photos

Your photos are encrypted and only visible to your assigned doctor.

Submitting your assessment…

Assessment complete!

AL
Dr. Ana Lim
Dermatologist & Trichologist

Dr. Ana Lim will review your responses within 48 hours.

You'll receive a notification when your consultation is ready.

Weight Management

What is your primary goal?

Lose weight / reduce BMI
Manage obesity-related conditions
I've tried dieting and exercise without success
I'm interested in GLP-1 / Semaglutide
Weight Management

What is your current weight and height?

This helps us calculate your BMI and tailor recommendations.

Weight
kg
Height
cm
Your BMI
Weight Management

Have you tried losing weight before?

Select all approaches you've tried.

Calorie-restricted diet
Low-carb / keto diet
Intermittent fasting
Regular exercise program
Prescription weight-loss medications
Weight-loss surgery
None — this is my first time
Weight Management

Do you have any of these health conditions?

Select all that apply.

Type 2 diabetes or pre-diabetes
High blood pressure (hypertension)
Sleep apnea
Non-alcoholic fatty liver disease
High cholesterol
None of the above
Weight Management

Any medications you're currently taking?

Yes
No
Not sure
Please list your medications
Weight Management

What does a typical day of eating look like for you?

This helps your doctor understand your current habits. No judgment — just be honest.

Submitting your assessment…

Assessment complete!

PG
Dr. Paulo Garcia
Bariatric & Metabolic Specialist

Dr. Paulo Garcia will review your responses within 48 hours.

You'll receive a notification when your consultation is ready.

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