Since when have you have been suffering with sinusitis?
Do you suffer with heaviness in the head? If yes on which side?
Right sideLeft sideCompleteNo heaviness
Do you have a nose block?
Do you frequently clear your throat?
Is your sense of smell intact? are you able to smell food and perfumes?
Do you get a frequent throat infection?
Does taking cold food/drinks affect you?
Does getting exposed to cold climate /fan/air conditioner affect you?
Do you get a frequent cold and cough?
Have you got an MRI or x-ray done (If yes, then please mention the details of the report 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 give your Registration number in the ‘more symptoms’ column at the end of the questionnaire.
Age:-Select-1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374757677787980818283848586878889909192939495969798