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    Questionnaire

    Please describe your present problems, when they started, how and when they become aggravated etc...
    Please write about your mental state (example: your feelings)
    Please write about your appetite, thirst, cravings, aversions, flatulence, sleep, dreams, sweating, etc...
Submit
DISCLAIMER: The information provided is for educational purposes only. It is not meant to diagnose or treat any health condition and is not a replacement for treatment by a healthcare provider.