IDM Prediction Lab
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Input Questionnaire
Input Questionnaire
Calculate Date
AGE
Your age in Years
EDUCATION
SOME ELEMENTARY SCHOOL
COMPLETED ELEMENTARY SCHOOL
INTERMEDIATE SCHOOL
SECONDARY SCHOOL
DIPLOMA
BACHELORS DEGREE
MASTERS DEGREE
DOCTORATE DEGREE
Your highest education level
GENDER
MALE
FEMALE
Select your gender
REGION
JOUF
NORTHERN BOARDERS
TABOUK
HAIL
MADINAH
QASSIM
MAKKAH
RIYADH
EASTERN REGION
BAHA
ASIR
JAZAN
NAJRAN
In which region are you currently living?
Q5NRFS
NEVER
1 DAY
2 DAYS
3 DAYS
4 DAYS
5 DAYS
6 DAYS
7 DAYS
During the past week, what was your weekly consumption of fruits, with a minimum of whole fruits such as apples, oranges, bananas, or a plate of medium fruit salad
Q7NRFS
NEVER
1 DAY
2 DAYS
3 DAYS
4 DAYS
5 DAYS
6 DAYS
7 DAYS
During the past week, how many times have you participated in moderate physical activity lasting at least 30 minutes, such as walking. (Explanation: Moderate physical activity causes a small increase in breathing or heart rate and is done for at least 10 minutes continuously
Q9NRFS
NEVER
YES DAILY
YES NOT DAILY
Are you a smoker of hookah or waterpipe?
Q10NRFS
NEVER
YES DAILY
YES NOT DAILY
Are you a smoker of electronic hookah or electronic cigarette?
Q13NRFS
NO
YES
Have you been diagnosed with high blood pressure and a doctor prescribed medication for you?
Q14NRFS
NO
YES
Have you been diagnosed by the doctor with any hereditary disease and prescribed medication?
Q17NRFS
NO
YES
Have you been diagnosed by the doctor with any heart disease and have you been prescribed medication or surgery?
Q18NRFS
NO
YES
Have you been diagnosed by a doctor with stroke and prescribed medication or surgery?
Q19NRFS
NO
YES
Have you been diagnosed by a doctor with cancer and have you been prescribed medication or surgery?
Q20NRFS
NO
YES
Have you been diagnosed by the doctor with any of the chronic lung diseases such as asthma and have you been prescribed medication?
Q15NRFS
Your Hight (in centimeters)
Q16NRFS
Your Weight (in kilograms)
WEIGHT TIME
THIS WEEK
IN THE LAST 2 WEEKS
IN THE LAST MONTH
MORE THAN A MONTH AGO
When was the last time you measure your weight?
Q12NRFS
NO
YES
Have you been diagnosed by a doctor with high cholesterol and prescribed medication for you?
VEGETABLES
NEVER
1 DAY
2 DAYS
3 DAYS
4 DAYS
5 DAYS
6 DAYS
7 DAYS
During the past week, what was the amount of your weekly consumption of vegetables, with a minimum of a medium salad bowl or a bowl of vegetable soup
Q8NRFS
NEVER
YES DAILY
YES NOT DAILY
Are you a smoker of regular cigarettes?
MOOD1
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
Over the last 2 weeks, how often have you been bothered by Little interest or pleasure in doing things
MOOD2
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
Over the last 2 weeks, how often have you been bothered by Feeling down, depressed, or hopeless
MOOD3
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
Over the last 2 weeks, how often have you been bothered by Feeling nervous, anxious or on edge
MOOD4
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
Over the last 2 weeks, how often have you been bothered by Not being able to stop or control worrying
SLEEP
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
Over the last 2 weeks, how often have you been bothered by Trouble falling or staying asleep, or sleeping too much
PAIN
NOT AT ALL
SEVERAL DAYS
MORE THAN HALF THE DAYS
NEARLY EVERY DAY
Over the last 2 weeks, how often have you took pain relief medications, like (Panadol, Profen, etc)
NATIONALITY
SAUDI ARABIA
OTHERS
Your NATIONALITY?
IDM Predictions Result
Date calculate
Confidence
Results