Do you have frequent throat pains?
YesNoOccasionally
Do you have frequent fevers?
Does consuming cold things cause the infection?
Is there any pain on swallowing while infected?
Does the pain radiates to the ears?
Do you sleeps with your mouth open?
Do you have any joint pains?
YesNo
Do you get a nose block?
Do you keeps your mouth open? YesNoOccasionally
Have you got any investigation done? (If yes, then please mention the findings of the investigations in the ‘more symptoms’ column at the end of the questionnaire)YesNo
Are you already a patient with Dr.Manoj's Homeopathy? If yes then please state your Registration Number. in the more symptoms column at the end of the questionnaire.
Name:
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Gender:MaleFemale
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More Symptoms:
