It goes to your benefit. It may be helpful to have a look at all the columns before making entries. Charges Please contact for amount and mode of payment. We never grade any symptom as funny or unbelievable . Therefore, please write what you exactly feel.
Medical diagnosis is also acceptable .
Any other 8. Please answer following questions. Always in hurry Always worried Anxious Careful Careless Conscious of cleanliness Fault finding Indecisive Indifferent Irritable Restless Sad Sensitive to all impressions Sensitive to disorders Very talkative Weeping easily Any other 12. Please list any strong Cravings or Aversions to particular items of foods. Cravings Aversions Eatables that trouble you in general 16.