HabitNu Thrive India

1

Age* This field is required.

Under 18

18–24

25–34

35–44

45–54

55+

2

Gender* This field is required.

Male

Female

Prefer Not To Say

4

Are you currently taking a GLP-1 drug (like Ozempic, Mounjaro, Rybelsus)?* This field is required.

Yes

No, but I'm considering it.

No, just curious.

5

What best describes your reason for taking GLP-1?* This field is required.

I'm interested in losing weight

I have a medical condition (e.g., diabetes)

I'm exploring programs for a family member

I'm just curious

Other

6

Full Name* This field is required.

7

Phone Number* This field is required.for WhatsApp updates

8

WhatsApp Consent* This field is required.

9

Email* This field is required.