Since how long has your voice been hoarse ?
Do you have any pain in the throat along with the hoarseness?YesNoOccasionally
Are you in a profession where you need to speak a lot ?
Does your voice become more hoarse towards the evening?
Do you feel the need to clear your throat often?
Do you suffer from sinusitis?
Is there a family history of cancer?
Are you a smoker?
Have you had 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 mention your Registration Number in the ‘more symptoms’ column.
Age:-Select-1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374757677787980818283848586878889909192939495969798