Since how long have you been experiencing cramps ? WeeksMonthsYears
Do you have cramps more in the DaytimeNight timeBoth
Does the pain get better when pressure is applied like tight bandage ? YesNo
Do you get cramps only in sleep? YesNoOccasionally
Are you a diabetic? YesNoNot sure
Do you have a thyroid problem? YesNoNot sure
Are you overweight? YesNoNot sure
Have you got any investigations 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 state your Registration Number in the text box. yesNo
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Gender:MaleFemale
Age:-Select-1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374757677787980818283848586878889909192939495969798
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