Do you get hot flushes? YesNo
Do you get any other symptoms associated with flushes like anxiety, fears, palpitations etc.?
How is your menstrual cycle? (If yes, then please mention in details of your menstrual cycle in the ‘more information’ column at the end of the questionnaire) RegularIrregularStopped
Do you have any crying spells?
Do you have any night sweats?
Are you experiencing any hairfall or your hair going weak?
Have you been putting on weight suddenly?
Do you urinate frequently?
Are you experiencing any urinary incontinence?
Do you have any breast tenderness?
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.
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