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| Does your hair fall out? | |
| Do your nails break? | |
| Do you have dry skin? | |
| Are you cold-blooded? | |
| Are you hot-blooded? | |
| Do you have hot flushes? | |
| Do you have any heat symptoms? | |
| Do you suffer from headaches? | |
| Do you suffer from cold sores? | |
| Does your head ever spin? | |
| Do you have high blood pressure? | |
| Do you have low blood pressure? | |
| Do you suffer from breathlessness? | |
| Are you ever phlegmy? | |
| Do you sometimes cough? | |
| Do you sometimes notice your heart beating? | |
| Do you get cramps? | |
| Do you feel a lump in your throat? | |
| Do you suffer from a recurring sore throat? | |
| Do you suffer from bloating? | |
| Are you tired after eating? | |
| Do you suffer from heartburn? | |
| Do you have reflux? | |
| Do you have a dry mouth? | |
| Do you have dry lips? | |
| Do you eat regularly? | |
| Are your stools regular? | |
| Are your stools soft and mushy? | |
| Are your stools dry? | |
| Is there a problem with stool extrusion? | |
| Are you suffering from bladder inflammation? | |
| Are you urinating too often? | |
| Do you wake up during the night to go to urinate? | |
| Are you tired? | |
| Do you fall asleep ok? | |
| Do you wake up during the night or early in the morning? | |
| Do you have dry or tired eyes? | |
| Do you feel a rumbling or thudding in your ears? | |
| Do you have swelling? | |
| Do you have a regular menstrual period? | |
| Do you have a shorter cycle? | |
| Do you have a longer cycle? | |
| Do you have a strong menstrual period? | |
| Do you have a weak menstrual period? | |
| Do you have pain before menstruation? | |
| Do you suffer from premenstrual syndrome? | |
| Do you have gynaecological discharges? | |
| Do you suffer from anxiety, depression and fears? | |
| Do you lose your temper easily? | |
| Do you suppress your emotions? | |
| Are you reluctant to have sexual intercourse? | |
Fields marked with asterisk (*) are mandatory.
