Since when are you suffering with corns ?DaysWeeksMonthsYears
How many corns do you have ?sSingleMultiple
Is there pain in the affected part ?YesNoOccasionally
Is there any itching in the affected part ?YesNoOccasionally
Do corns run in the family ?YesNoMay be
Have you ever put a corn cap on the affected part ?YesNo
Have you had any surgery done on the affected part ?YesNoOccasionally
Have you got any investigation done ? (Please mention 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 please state your Registration Number in the 'more symptoms' column.YesNo
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Age:-Select-1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374757677787980818283848586878889909192939495969798
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