Since how long have you been suffering with this problem? WeeksMonthsYears
Which elbow is affected?
LeftRightBoth
Do you play any sports?
YesNoOccassionally
Are you diabetic?
YesNoNot Sure
Is there any injury to the affected area?
Have you had any physiotherapy done?
Is there any redness or swelling in the affected part?
YesNo
Have you got any investigations done? (If yes, then please mention the details of the reports 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.
Name:
Email Address:
Contact Number:
Location/City:
Gender:MaleFemale
Age:-Select-1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374757677787980818283848586878889909192939495969798
More Symptoms:
