Do you urinate frequent?
Is there any urgency to urinate?
Have you experienced involuntary urination (Dribbling of drops without knowledge/dribbling after urination?)
Does it burn when you urinate or is it painful when you urinate?
How many times do you wake up to urinate at night
NoneOnceMore Than Once
Do you have a frequent Urinary Track Infections?
Does it pain when you ejaculate or when you have an erection?
Have you got any investigations done, like an ultrasound, or PSA (If yes, then please mention the details of the reports in the ‘more information’ 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.YesNo
Age:-Select-1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 Months234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374757677787980818283848586878889909192939495969798