Questionnaire
Questionnaire
Questionnaire
What about your appetite, how do you feel if you go without a meal?
What do you drink and in what quantity? What about thirst?
What are the foods that make you sick and why?
What about wine / beer / coffee / tea / milk / vinegar?
How much do you smoke in a day. How do you feel after smoking?
Are there any drugs which you are very sensitive too or which make you sick?
What are the vaccinations you have had and the results from them?
What about cold or warm baths, or sea baths?
How do you feel at the seaside or on high mountains?
How do collars, belts and tight clothing affect you?
How long do your wounds take to heal, how long do they bleed for?
In what circumstances have you felt like fainting?
6. Mental and Emotional Symptoms
The symptoms of the Mind are most important and should be carefully considered.
Try to give all these symptoms fully as they are very important.
Please note that the questions and language here used are merely suggestive,
and are simply intended to lead you to give all your symptoms.
What are the greatest griefs that you have gone through in your life?
What are the greatest joys you have had in life?
In what circumstances have you ever felt jealous?
On what occasions do you weep? At music? At reproaches? At what time of day?
How do you cope with your worries?
What effect does consolation have on you?
On what occasions do you feel despair?
Please provide as much information as you can regarding the medical history of
your immediate family and grandparents.
Can you describe your home circumstances and important relationships?
What are your passions and leisure pursuits?
Are their important aspects of your life that have not been covered?
Thank you for completing the questionnaire. Please email this questionnaire to
fran@homeopathyhelpline.com.
Once you have completed the questionnaire please arrange payment. The fees are
UK 80 or US $130 for a first consultation and UK 45 or US $75 for a follow up
consultation probably 4 weeks later depending on the problem. Urgent short
questions which arise from time to time are welcomed.
Ask me for information about pharmacies where you may obtain your medicines if
there is not enough information on the site.
You may pay via www.paypal.com using my ID <fran@homeopathyhelpline.com.>.
Or you may send a UK cheque, or cash in the post, or if in India ask me for the
name of my agent. This way I do not have to worry about dealing with your credit
card details.
Thank you for completing the questionnaire.
Contact Details
Telephone / Fax from UK: (0208) 450 6564
Telephone / Fax outside UK: (+44) (208) 450 6564
If you would like to contact me via post then please send all correspondence to:
Francis Treuherz, 2 Exeter Road, London, NW2 4SP, ENGLAND.