Personalized AURA FEM HEALTH - Holistic Discovery Journey

You’re already making a powerful choice by being here—this discovery journey is all about you, and every moment is an investment in your well-being. It’s thoughtful, it’s meaningful, and it’s free. The whole journey will take around 30 minutes, but remember, you can pause and come back anytime. Just click save.

Once you complete it, you will receive your personalized plan that is detailed and powerful. We work at the intersection of psychology, modern medicine and integrative medicine. You can be assured to get something that is practical yet transformational.

So, take your time, breathe, and smile—you’re doing something incredible for yourself.

Just remember to hit ‘Submit’ at the end so we can receive and begin crafting your personalized path. We appreciate that this is a big time commitment. And are so proud of you for taking this first step.
Email Address (Please make sure it is the right one so we can send you your personalized report and plan.)*
example@example.com

We are glad you are here.

Let’s get to know you better. We start with some basic information.
What beautiful name did you get assigned in this world?

First Name Last Name
Great! Now tell us the name you love answering back to..*
Candles on your last birthday…no cheating ladies… we won’t tell anyone! Tell us your age*
What brought you here?*

Referral (please share email address)Social MediaSearch EngineOther

Phone Number

Country CodeArea CodePhone Number
Your Ethnicity*

South Asian/ IndianSouth East AsiaNorth AsiaPacific IslandsAfricanHispanicWhite / CaucasianAmerican Indian or Alaskan Native.Type here

Let's understand why you're here! Best describe your situation in your own words. Allow your heart to lead you and speak freely. We're here to listen. Promise.*
Imagine waking up tomorrow morning and a miracle has happened overnight and your health is where you wanted it to be, how would you know, what would feel different physically and mentally?

How are you feeling mentally?*
How are you feeling mentally?
Current Mental Well Being 0 to 5
Do you currently do anything to work on your mental health? Anything counts here!*
Imagine magically in two years, you are feeling the best version of yourself mentally. What has happened? Start by saying 'I am so happy now that…'*

How are you feeling physically?*
How are you feeling physically?
Current Physical Health 0 to 5
Do you currently do anything to work on your physical health? Anything counts here!*
Imagine magically in two years, you are feeling the best version of yourself physically. What has happened? Start by saying 'I am so happy now that…'*

How do you feel about your environment? An enabling environment is fundamental to our well being (incl. work, home, close relationships, home you live in...)*
How do you feel about your environment? An enabling environment is fundamental to our well being (incl. work, home, close relationships, home you live in...)
Current Environment 0 to 5
We may not realize but environmental stress has significant impact on our overall wellbeing. Are there any sources of stress that may be impacting your wellbeing?*
Imagine magically in two years, you have your dream environment. What has happened? Start by saying 'I am so happy now that…'*

Sigh Breath - 3 times

You are doing so well! You are 25% done. It should take you about 15 to 20 mins from now on. Time to take a sigh breath :) it calms down your parasympathetic nervous system (promotes relaxation, lowers heart rate, blood pressure and stress hormones).

Medical History

We want you to know that YOU have been so strong !
Please describe any major medical condition or surgery that you think may be relevant to share incl. obstetrics history (any pregnancies you may have had)*
Have you ever had any major surgical procedures? If yes, please share the procedure(s)
Please list the medications/ supplements you're currently on and how long have you been taking them? Including any birth control pills/ contraceptive or hormonal supplements (now or in the past)*
Your Obstetric History.Describe your pregnancies, if you have had any and your experiences with these pregnancies (if not covered earlier)

Family History

Let's look at the genetic side of things ... shall we?
Please share any significant family medical history. You may include your blood relatives in this history. Also, share if there is a pattern to the health of women in your family (mother, grandmother, sisters, aunts, daughters)*
If you were to describe the women on your side of family (mother, grandmother, sisters, aunts, daughters), what would be a common theme across their health

How many children do you have?*
Type a number, if none then 0 (referring to biological children)
What is the age of your youngest child?*
Are you currently breast feeding?*

YesNoOther
Are you currently pregnant?*

YesNoOther

Trauma can deeply impact all aspects of our health and we take a trauma informed approach. Are you carrying any unresolved trauma that continues to impact you?*

What activities make you feel truly alive? Where do you find yourself the happiest and most content?*

Measurements

We would love to send you that lovely dress! But, we will only be using these for your personalized report and plan
Weight in kgs*
Height in cms*
BMI
BMR
Body Fat Percentage
Metabolic Age

Looks like you have entered height less than or equal to 100 cm. Can you please recheck?

Good job! You are halfway there. It should take you about 10 to 15 mins from here.

Try out some Diaphtagmatic breathing that increases oxygen to your brain, helps you relax.

You may take a bit of screen break and close your eyes if you like.

Energy and Stamina

Are you rolling, rocking, smashing ...crashing....
In your own words, describe your energy levels through the day. Start with how much energy you have during the morning, what it feels like post lunch and then by the time you get to bed at night?*
How do you typically feel post a meal?*

NormalExhaustedFatiguedEnergeticType here
Post meal calculation

How have you been feeling? Select all that apply*

I have been feeling normalMore Tired when restingSluggish, Slow, Constant fatigueSome days too tired to breatheFeeling dizzy when you suddenly stand upLethargy and heavinessNone of the aboveType here

Emotional Health

You are feeling it for a reason....our emotions are signals to us about our mind, body and environment. Pay attention to these emotions, give them a name - please don't ignore them
In your own words, how would you describe your emotional state and mood? Think about how you feel across the month and then through the day. Highlight feelings which are significantly different versus say 6 months back

Mental Sharpness

Keeping your mind quick and clear—just like spotting a great sale!
How's your memory serving you these days? Forgetting can sometimes be great! Remember that ex? no? see what I mean! Select all that apply

My memory is great! I don't forget anything (including that one time my partner forgot our anniversary)My memory is mostly good when it comes to events and conversations. I sometimes forget the specifics like names. I remember the faces though!I can walk into a room and not remember why I enteredI often return back home from the outside as I forgot something insideI forget to eat a meal sometimesI sometimes forget my way back homeType here
Would you like to share anything about your mental sharpness? Some women mention feeling clumsy, experiencing brain fog, or noticing a bit of poor coordination.

Does any of this happen during your periods? Mark those symptoms which have been present in last 3-6 months*

Pelvic PainPain in back and legsClots and jelly like particles in period flowNausea or VomitingDark brown or blackish blood other than on the first or last day of the cycleDiarrhea or loosely formed stoolsMigraines/ headachesAny other symptoms type here

Before your period do you experience any of these symptoms. Select all that apply*

Bloating, Weight gain, Fluid RetentionMood swings and irritabilityMigraines, HeadachesBreast Swelling or TendernessUneasy stomachNone of the aboveAny other symptoms type here

In between your two periods do you experience. Select all that apply*

Spotting or breakthrough bleedingFoul fishy vulval odorDull aching low pelvic painNone of the aboveAny other symptoms type here

Let's dive into the fabulous (and sometimes frustrating) trio: Body Weight, Skin, and Hair.
How would you describe your body weight journey? Is it steady as a rock, up and down like a roller coaster, or somewhere in between?*

lost enough weight in last one year to drop a few sizes (without meaning to)gained weight mostly around my abdomengained most weight around my hips and thighs, while my breasts and waist remains thinner (I gain weight so easily that food for thought goes into my thighs!! )gained weight all over the body and it feels like walking with weightsgained weight around my lower belly and it sags down relative to rest of my bodynormal body weight or some fluctuations but feels normalType here

Body temperature - darling! can you please increase the air conditioning am freezing here*

Feel cold in hand and/or feetHeat intoleranceSlight chill in air makes me coldFeeling feverish most of the timeAm mostly comfortableType here

Do you experience any of these - Ouchy Ouchy Ouchy. Select all that apply*

Feeling tender and achyMuscles tender to touchLegs are swollen and bulkyAchy jointsTingling in your hand or feetCatch infections easilyTough to recover from an infection or injury?No, I don't experience any of theseType here

Sweating (this is our secret! Sweat - Sweet What No?!?)*

ExcessDecreasedNormalType here
Sweating Calculation*

Tell us about your hair changes in last 6 months(select all that apply). And please share recommendations for a good hair stylist they are so rare ! Select all that apply*

Head hair fallEyebrow/ eyelash hair fall lateral/ outer third of the eyebrowsFacial or Chest hair growthThinning hairDry and tangling hairPre mature greying of hairFemale pattern baldness or wide gap in middleFeels normal (with some variation)Type here

Before we go to next section, here is a little treat for you called Sitting Yoga. Because you are 75% done. It should take you about 5 to 10 mins from here.

See how many of these Yoga postures can you do. Wherever you are enjoy the stretch and keep breathing. Do not rush - you deserve your few moments.

How would you describe your work?

My work is my home and familyI work from homeI work from office most daysOther
What are the activities or responsibilities that fill most of your time? This could include work, caregiving, creative projects, volunteering, or anything else that keeps you engaged

What personal strengths can you lean on to boost your wellbeing?
What advice would a future version of you give to you today?

In between your meals, select all that apply*

I feel hungry in between mealsI have a sugar craving – I need that chocolate or something sweet especially after foodI have salt cravings - ooh am thinking of that salty chips right nowRapid heartbeatShakiness between meals - not the one on good music !I feel normal and goodType here

Select all that apply about your digestion...burrrpppp (and other funny sounds). Select all that apply*

Indigestion/ bloatingNauseaI get acidityDiarrheaConstipationAlternate between constipation and looseFeeling unwell, yucky or nauseous most of the timeNo significant digestion issuesType here

How thirsty do you feel - thirst for water (for now)....*

Never, one those who have to be reminded to drink waterI forget to have water, but do manage to drink enough each dayI have a cup of water around me most of the time, but not like am parchedAm always thirstyType here
What can you say about your mucous (sorry! we need to know gross or not)....*

I get a lot of itFeels normalType here

Do you consume alcohol*

I never drinkOnce in a long while1 to 3 drinks each weekMore than 3 drinks each week
Do you smoke*

I never smokeI smoke once in a long whileI smoke few times each weekI smoke daily

Do you consume any recreational drugs

NeverSometimesRegularly
How often do you exercise*

RegularlyOftenRarelyNever

Stool and Pee

Ya - not the most fun topic for friendly conversations....
Select all that apply to your pee*

High colored/ dark yellowRarely need to pee through the dayPee count has increased a lot recently and I am always conscious about where the restroom is when I go outIt burns when I peeI sometimes feel I need to sit right back down to pee, moments after I passed urineWhen I feel a need to pee, I must get to the restroom within seconds (Urgency)I suffer from mild incontinence (I pass pee when I sneeze or laugh hard)All feels normal on peeing side of thingsFeel free to type here

Getting into more fun details .... Select all that apply to your stool

Hard, DryStickyLooseFoul smellNormalFeel free to type here

In case we missed asking anything that you consider important - please do share. Or you can use this space to ask any questions you may have?
How was your experience of the AURA holistic assessment?*
We would really appreciate any feedback you may have that can help us improve. Or it could be things that you really liked*

Please confirm that you consent to the following terms and conditions:

I understand in case of any medical emergency or significant conditions I should contact the a general physician or specialist.

I verify that the information I have provided on this form is truthful and accurate.

I release the AURA FEM HEALTH and associated members from any and all of the claims and demands.
Phone Number (WhatsApp)*

Country CodePhone Number
Signature*

Clear

Well Done!

Thank you for taking this time for yourself – every step counts, and you’re doing amazing!
Thank you for completing the assessment! Here’s what’s next: Within the next 5 days, our team of health experts will review your insights and carefully craft a personalized report just for you. This report will include a customized plan tailored to your unique needs and wellness goals, offering clear steps and practical guidance to support your journey. Look out for your report—it’s on its way soon!

You can reach out to us at discoveryouraura@aurafemhealth.com or +65.8170.4190 for any questions or comments.
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We are glad you are here.

Sigh Breath - 3 times

Medical History

Family History

Measurements

Yaaawwnn.... Sleepy Sleepy

Energy and Stamina

Emotional Health

Mental Sharpness

Menstrual Health

Let's dive into the fabulous (and sometimes frustrating) trio: Body Weight, Skin, and Hair.

Nutrition, Gut connection

Stool and Pee

Optional Section - Ayurveda Natural Tendencies

Physical Assessment

Physical Tendencies

Temperament

Well Done!