Since when have you been experiencing the pain ?WeeksMonthYears
Where do you feel the pain? Right heelLeft heelBoth
Do you have pain when you begin to move and when you put your feet out of bed in the morning? Does the pain get better after a few steps?YesNoOccasionallyNot Sure
Does the pain increase with physical exertion like standing or walking ?YesNoOccasionally
Is there pain in the region just above the heel, towards the back of the feet? YesNoOccasionally
Have you taken any local injection to the heel for relief? YesNo
Have you got any investigations done like, an x-ray or uric acid levels (If yes, then please mention the details of the reports 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
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