Hello,
We have written about blood tests and Hashimoto's on our blog. How does it look for you?
We are offering you individual analyses and comparison to our global results.
start
 
You can enter your lab tests and get insights on your smartphone app. What smartphone do you use? *


 
Thank you. Our app with lab tests is available for iPhone now. You can still finish this questionnaire and get your results by email.

 
How long ago were you diagnosed with Hashimoto's? *


 
When did you do your last blood test? *


 
What was your TSH value?

Please write measuring units:
e.g.
mIU/L
µIU/mL
 
What was your total T3 (tT3) value?

Please write measuring units:
e.g.
ng/dL
ng/ml
nmol/L
 
What was your free T3 (fT3) value?

Please write measuring units:
e.g.
pg/mL
pmol/L
 
What was your total T4 (tT4) value?

Please write measuring units:
e.g.
µg/dL
nmol/L
 
What was your free T4 (fT4) value?

Please write measuring units:
e.g.
ng/dL
pmol/L
 
What was your reverse T3 (rT3) value?

Please write measuring units:
e.g.
pg/mL
ng/ml
nmol/L
 
What was your anti-TPO antibody (TPOAb) value?

Please write measuring units:
e.g.
mIU/L
 
What was your anti-TG antibody (TGAb) value?

Please write measuring units:
e.g.
mIU/L
 
Have you done any other Hashimoto's-related blood test? *


 
Please list what other blood tests you have done.

Please include the units after the value :)
 
What is your age group? *


 
Biologically, do you identify yourself as? *

Hormones have a significant impact on our bodies and our health. For the purposes of classifying your body’s hormone production or any supplements you take, are you

 
Would you like to get personalized insight on your hormonal values in your inbox? *


 
Please enter a non-identifiable name or code

In order to protect your data and your privacy, we do not want you to share your email with third parties (this survey is hosted by type form).
Enter a name that cannot identify you. And then separately email us this name to hello@boosthealthapp.com 
By that we will be able to send you a correct report.
The name can be composed of any letter, number or special character, and should be long between 7 and 15 characters
Thank you. You can download our app Boost Health and enter your blood tests in the app.
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Thank you for participating in this survey. We will analyze the data, and publish anonymized results on our blog Boosted. You will receive the results in one of the next Boost Insider newsletters. For regular updates check our Facebook page.
In the meantime, you can have a chat with Hashiboto, chatbot specialized in thyroid health.
to Hashiboto
Powered by Typeform
Thank you for participating in this survey! 
Please send your non-identifiable code name to hello@boosthealthapp.com and you will receive your personalized report.

In the meantime, you can have a chat with Hashiboto, chatbot specialized in thyroid health.
to Hashiboto
Powered by Typeform
Powered by Typeform