EarlyDelayedOn timeNot consistent


ScantyProfuseWith clotsNot consistent


YesNoOccasionally


YesNoOccasionally


YesNoOccasionally


YesNoNot Sure


YesNoNot Sure


YesNoOccasionallyNot applicable


YesNoNot Sure

Have you got any investigations done, like ultrasound or thyroid profile ? (Please mention the details of the results in the 'more symptoms' column at the end of the questionnaire)
YesNo

Are you already a patient with Dr.Manoj's Homeopathy? If yes, then please state your Registration Number in the 'more symptoms' column.
YesNo