Since when have you been suffering ?
Have the pains started gradually and are increasing and spreading to new areas slowly?
Are the pains more during
WinterSummersRainy SeasonNot sure
Are the pains more in the
MorningsEveningsAll the timeNot sure
Do the pains increase when your sleep is insufficient?
Do the pains increase due to stress?
Is there a pain in your neck?
Are the pains better with exercise or continuous movements?
Do the pains get better with rest?
Is there any family history of fibromyalgia ?
Do the pains increase before the menstrual cycle ?
Do the pains increase when you eat any particular kind of food?
Have you got any investigations done? (If yes, then please mention the details of the results in the 'more symptoms' column at the end of the questionnaire)
Are you already a patient with Dr.Manoj's Homeopathy? If yes, then please state your Registration Number in the text box.
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