Since how long have you been suffering from this problem?
WeeksMonthsYears
Do you have Joint pains? Please mention the details of which joints are the joints affected. in the more symptom column at the end of the questionnaire
YesNoOccasionally
Do you have any morning stiffness?
Is there any associated shoulder pain?
Is there any swelling in the small joints?
Is there any nodule like or swelling around the small joints?
Is there any numbness or, tingling of the hands and feet?
Is your movement restricted
Does your skin have any dermatitis changes?
Is there any family history of rheumatoid arthritis or joint issues?
YesNoNot Sure
Have you got your rheumatoid arthritis factor test done? (If you have got any other investigations done ? (please mention the details of the reports in the ‘more symptoms’ column at the end of the que
YesNo
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
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More Symptoms:
