Since when have You been suffering with cracked feet ? WeeksMonthsYears
Do you have very dry skin? DaysYesNo
Do you suffer from any other skin disease? YesNo
Do you have Psoriasis? YesNo
Is there a family tendency of cracked feet? YesNo
Has there been a change of location ? YesNo
Do you have a hormonal problem or are you on any hormonal therapy? YesNo
Have you got any investigation done ? (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 give 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
More Symptoms:
