A A Template For A Basic Self Health Check Up And Play With YourSelf

Thank you for your purchase!

Get A Basic Self Health Check Up And Play With YourSelf - Foot allows you to enter your own health data on a fun-to-fill electronic health questionnaire with the same questions that your doctor would ask you at an office visit.  The difference is that you get to keep your own health information and store it for your own records, instead of leaving it at your doctor's office.  You can then look up your health data online, from anywhere and anytime, with a Healthy Check Up, self health care online!

Once you have completed entering all of your answers on the Self Health History Form, you will be able to print it or download it for your records, or share it with your friends and family, or simply compare it to any changes to your health or any future orders of our Self Health Check Up.

If you have a specific health problem now, we recommend that you consider your next order to be a Specific Self Health Check Up with a more detailed questionnaire and Self Health Note of any particular problem, but without the digital interaction, for only $19.99 or a Complete Self Health Check Up and Play With YourSelf, for $24.99.  

Please note that your selfie CANNOT be attached to the Basic Self Health Check Up.   Your selfie can only be attached to a Specific or Complete Self Health Check Up with a specific body part or health problem check up, where your selfie can be attached to the top of a Self Health Note.  

Our online self-health care system is a very convenient, online secure, password-protected and HIPAA-protected. This self health care online software program will immediately organize your health information today. Your consumer rights for electronic transmission of private and personal information online is very important to us, and so we protect your privacy rights by offering this secure and protected system online, in order to help you gather your health data safely and securely.  We only store your health data when you purchase a Specific or Complete Self Health Check Up, and you can remove your health data whenever you want to, just by requesting that we delete your account from the Healthy Check Up Portal.

You cannot store your health data when you purchase a Basic Self Health Check Up, and once you print or download your completed questionnaire, it will delete your health data from our site.  You can only store your health data when you purchase a Specific or Complete Self Health Check Up, and you can remove your health data whenever you want to, just by requesting in writing that we delete your account from the Healthy Check Up Portal.


What's included: Part I and Part II

A choice of any listed body part or health problem available, that you want to learn about. 

  1. A Basic Self Health Check Up questionnaire that is fun-to-fill, with a drop down menu answers.
  2. A self-reported, self physical exam with the same questions that your doctor would ask you. 
  3. A copy of your own self-reported check up and health data that you can print or download when completed.
  4. A 3D interactive human body experience where you can learn while you Play With Yourself, a matching human body part that matches your health interest.


Part I: Play with YourSelf - Foot 

You will be amazed to see the parts of your foot of your body in 3D, as you learn more about yourself.

Please Note: This digital product will be available for you to view in your account, for the next 10 days.  After the next 10 days, you will be locked out from viewing this product information.

You will be marveled when you start to control and move YourSelf, right now online. Simply use your mouse on your computer, or a finger on your cell phone.  You will be impressed with how fun and easy you can control any body part belonging to YourSelf.  Move YourSelf, spin Yourself, and see YourSelf zoom in and zoom out, go inside and outside of YourSelf, turn YourSelf frontwards and backwards, or slide YourSelf upside down and all around! 

Take control of YourSelf and learn more about yourself now!  Enhance your learning experience and get to know YourSelf, up close and personal, with this AMAZING and UNIQUE 3D interaction!  You will definitely appreciate your own human body parts, as you watch and learn more about yourself.  

Use the Special Feature Buttons that ONLY work on a computer.  Press CROSS SECTION and literally take a digital CAT SCAN to view the body part in multiple layers and sections from any angle.  Click on the TRANSPARENCY MODE button and then click on a body part to isolate it from the other body parts, in order to get a closer look.  Click on the Special Feature Buttons again to exit from that mode. 

Play with YourSelf and learn with a variety of digital 3D human body parts, that you can choose from our main menu.  These body parts are exact replicas of yourself, where you can choose a specific human body part that interests you.  Learn more about your own human body parts and understand how they relate to your health problems too.  Play with YourSelf right now online, and see how fun and easy it is to control YourSelf with your mouse at your house, or with a finger tap on the app.  There is no need to download this product, just Click to Interact and start playing now! 

Instructions:  Click to Interact

Computer/Desktop: 1) Left click on mouse, 2) HOLD finger on button and 3) Move your mouse or spin the wheel to zoom in and out.

Cell Phone/Mobile : 1) Tap screen once and move with finger.  Tap screen again to scan or zoom in and out.


Part II: Complete Self Health Check Up - Foot

The Self Health Check Up questionnaire is located on a link down below, at the bottom of this page.  Please read the following instructions to assist you in completing this form.

Note: Any answers with long sentences will not be entirely visible within the small field boxes of the questionnaire, but the entire sentences will be visible in the printable version of the form, after you submit your questionnaire.

Enter as many answers that you can.  If you do not have all of your health data readily available, such as your vital signs, then enter your best educated guess. You have up to 10 days to complete and SUBMIT the questionnaire and then it will be deleted.  

Because this is a combined and discounted product with Play With YourSelf, if you do not SUBMIT the questionnaire, NO REFUNDS will be given after this purchase. 


How To Enter Your Health Data On The Questionnaire

Before starting your Self Health Check Up questionnaire, be sure to have the following basic information written down on a piece of paper for immediate entry.  If not, enter your best guess, or leave blank and skip to the next field box: 

  • Height ( in inches)
  • Weight (in pounds)
  • BMI or Body Mass Index (Use our BMI calculator for this value)
  • Temperature
  • Pulse Rate
  • Systolic Blood Pressure
  • Diastolic Blood Pressure

Need help?  Learn how to check your own vital signs.  Click Here


How To Enter Your Electronic Signature

To view the questionnaire form entirely, use the grey colored bar along the right side of your screen and scroll down, so that the top of this form is at the top of your screen.  This will allow you to see the Signature Box where you need to place your electronic signature.  Your signature does not need to be perfect, but it should be recognized by you.  

1)  Computer/Desktop user: Enter your best signature, using your mouse like a pen.  "Other Signature Options" to enter a digital signature is not available for computer/desktop users, and it is only used by cellphone/mobile users.

2)  Cell phone/Mobile users: Tap  "Other Signature Options" and then "Type-to-Sign" to enter your digital signature.  Handwriting your your signature may not be easy to do on a small signature line. 

3)  To reset your signature, click "Retry".

4)  When done, click "Preview Signature" to enter your signature.  Your signature will automatically appear on all of the other lines that require a signature, on every page. 

5) Be sure to follow the red tag cursor along the left side of the form, indicating if it is REQUIRED for you to complete the boxes, or else you will not be able to submit the form.  All other boxes are optional for you to fill in or leave blank.  


Troubleshooting the Questionnaire:


Refer to these instructions when filling out your health questionnaire.

1) The entire form is not visible.  

Solution: Scroll down on the shorter grey colored, right side bar, within the form.


2) I cannot sign the Signature Line.  Most common question by computer/desktop users.

Solution: Scroll down to the MIDDLE part of the web page moving the larger grey colored bar, located along the ride-side edge of your computer screen and find the signature box called. 


3) I have completed the questionnaire, but I cannot SUBMIT the form.  

Solution: There must still be a RED FLAG along one of the questions that you overlooked.  Look for the moving red tag, REQUIRED, along the left side of the form.  Be sure to check the following:

  • Enter your name and email address at the top of the form,
  • Enter all date boxes,
  • Enter the box describing the body part or health problem you purchased, and
  • Enter the very last question, Select One, located at the very bottom of the form, on the very last page.


After Completing Your Questionnaire

You will get an email with a copy of your Self Health Check Up questionnaire, so that you can print it out or download it, up to 10 days from purchase.  Your health information will be saved and entered into your account at the Healthy Check Up Portal.  

Please look for an email from customerservice@healthycheckup.com, where we will attach a temporary password that you will change and then get access to your Personal Health Records and Self Health Notes.  

Our safe and secure, Healthy Check Up Portal will allow you to communicate with us via electronic messages, where we can jointly send and receive any health related questions, health data or health notes, privately and securely online.  

We look forward to providing you the best self health care service online.  Please invite your family and friends to get a Healthy Check Up too!


Best wishes to you and we hope that you have a Healthy Check Up!


Click Here to Begin Your Self Health Check Up Questionnaire