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Formulario de diagnóstico
Name
*
Surname
*
E-mail
*
Phone
*
Age
Height
Weight
Are you on any medication?
Are you allergic to anything?
Describe your problem
*
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Diagnostic questionnaire (here you can specify your problem)
Does your hair fall out?
without an answer
never
sometimes
often
continuously
Do your nails break?
without an answer
never
sometimes
often
continuously
Do you have dry skin?
without an answer
never
sometimes
often
continuously
Are you cold-blooded?
without an answer
never
sometimes
often
continuously
Are you hot-blooded?
without an answer
never
sometimes
often
continuously
Do you have hot flushes?
without an answer
never
sometimes
often
continuously
Do you have any heat symptoms?
without an answer
never
sometimes
often
continuously
Do you suffer from headaches?
without an answer
never
sometimes
often
continuously
Do you suffer from cold sores?
without an answer
never
sometimes
often
continuously
Does your head ever spin?
without an answer
never
sometimes
often
continuously
Do you have high blood pressure?
without an answer
never
sometimes
often
continuously
Do you have low blood pressure?
without an answer
never
sometimes
often
continuously
Do you suffer from breathlessness?
without an answer
never
sometimes
often
continuously
Are you ever phlegmy?
without an answer
never
sometimes
often
continuously
Do you sometimes cough?
without an answer
never
sometimes
often
continuously
Do you sometimes notice your heart beating?
without an answer
never
sometimes
often
continuously
Do you get cramps?
without an answer
never
sometimes
often
continuously
Do you feel a lump in your throat?
without an answer
never
sometimes
often
continuously
Do you suffer from a recurring sore throat?
without an answer
never
sometimes
often
continuously
Do you suffer from bloating?
without an answer
never
sometimes
often
continuously
Are you tired after eating?
without an answer
never
sometimes
often
continuously
Do you suffer from heartburn?
without an answer
never
sometimes
often
continuously
Do you have reflux?
without an answer
never
sometimes
often
continuously
Do you have a dry mouth?
without an answer
never
sometimes
often
continuously
Do you have dry lips?
without an answer
never
sometimes
often
continuously
Do you eat regularly?
without an answer
never
sometimes
often
continuously
Are your stools regular?
without an answer
never
sometimes
often
continuously
Are your stools soft and mushy?
without an answer
never
sometimes
often
continuously
Are your stools dry?
without an answer
never
sometimes
often
continuously
Is there a problem with stool extrusion?
without an answer
never
sometimes
often
continuously
Are you suffering from bladder inflammation?
without an answer
never
sometimes
often
continuously
Are you urinating too often?
without an answer
never
sometimes
often
continuously
Do you wake up during the night to go to urinate?
without an answer
never
sometimes
often
continuously
Are you tired?
without an answer
never
sometimes
often
continuously
Do you fall asleep ok?
without an answer
never
sometimes
often
continuously
Do you wake up during the night or early in the morning?
without an answer
never
sometimes
often
continuously
Do you have dry or tired eyes?
without an answer
never
sometimes
often
continuously
Do you feel a rumbling or thudding in your ears?
without an answer
never
sometimes
often
continuously
Do you have swelling?
without an answer
never
sometimes
often
continuously
Do you have a regular menstrual period?
without an answer
never
sometimes
often
continuously
Do you have a shorter cycle?
without an answer
never
sometimes
often
continuously
Do you have a longer cycle?
without an answer
never
sometimes
often
continuously
Do you have a strong menstrual period?
without an answer
never
sometimes
often
continuously
Do you have a weak menstrual period?
without an answer
never
sometimes
often
continuously
Do you have pain before menstruation?
without an answer
never
sometimes
often
continuously
Do you suffer from premenstrual syndrome?
without an answer
never
sometimes
often
continuously
Do you have gynaecological discharges?
without an answer
never
sometimes
often
continuously
Do you suffer from anxiety, depression and fears?
without an answer
never
sometimes
often
continuously
Do you lose your temper easily?
without an answer
never
sometimes
often
continuously
Do you suppress your emotions?
without an answer
never
sometimes
often
continuously
Are you reluctant to have sexual intercourse?
without an answer
never
sometimes
often
continuously
Los campos con asterisco son obligatorios.
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