TV3's Doctor in the House is returning to our screens and the programme-makers are currently looking for households to take part.
Our team of leading medical experts will work with households to support them in making a positive change that could dramatically improve your long-term health for the better.
Professor Niall Moyna, Dr. Nina Byrnes and Dr. Sinead Beirne will use their expertise to identify potential health risks and design a personalised health and lifestyle plan for the households.
We are looking for households to sign up for this exciting health opportunity. Apply as a couple, a family or a group of housemates.
Those participating must have availability for filming during December 2017 to April 2018
HOW TO APPLY? If you are over 18, simply fill out the form below and click 'Submit'. If you would like more information please contact Clare on 01 7088100 or email doctorinthehouse@indiepics.ie
Name:
Age:
Date of Birth:
Email: *Please enter an email address.
Phone Number (landline and mobile):
Address:
Height:
Weight:
Occupation:
Who lives in your household and what is your relationship with them? e.g. daughter, flatmate, partner. Please list their names and ages.
Please list all members of the household who are willing to feature as part of the show:
Do you smoke? If yes, how many a day?
Do you drink alcohol? Outline your alcohol intake a week
Please outline your typical daily diet Breakfast: Lunch: Dinner: Snacks: Drinks:
Please outline your daily routine. e.g. Working hours, social life, hobbies:
Do you exercise? If yes, how often and what type of exercise
Do you have any known health problems? e.g. high blood pressure, diabetes
List any history of family health problems:
What area of your health are you most concerned about? e.g. weight, poor diet, smoking habit
Are you available from the December until April for occasional filming?
Why do you want your household to take part in the programme?
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