Abridged Questionnaires

On the basis of the Questionnaire designed by Rishi, i have designed abridged questionnaires. Totality of symptoms is not the same as total mass of symptoms, this i could understand only due to Rishi's questionnaire. Srisri's comments also made things clear to me. Rishi can't be thanked enough for designing a good case taking tool. Lets expect more from him when he gets some time.

QUESTIONNAIRE FOR A CHILD (BOY)
Can you please give the following information in respect of your son.

1.whether he prefers warm surroundings ie whether he likes to be covered or he prefers cold surroundings and open air.

2.whether he has a mild disposition or an irritable diposition. How is his attitude towards his friends and relatives?

3.What other physical problems, if any does he have.

4.At what time he feels better and at what time does he feel worse like in the morning, evening, late night etc.

5.What do you think is the causative factor for starting his problems.

6.How is his thirst for cold drinks, hot drinks and water?

7.How is the bowel movement? Normal, constipated or loose.

8.Whether the child prefers to move around or prefers to keep still.


***********
QUESTIONNAIRE FOR A CHILD (GIRL)

Can you please give the following information in respect of your daughter.

1.whether she prefers warm surroundings ie whether she likes to be covered or she prefers cold surroundings and open air.

2.whether she has a mild disposition or an irritable diposition. How is her attitude towards her friends and relatives?

3.What other physical problems, if any does she have.

4.At what time she feels better and at what time does she feel worse like in the morning, evening, late night etc.

5.What do you think is the causative factor for starting her problems.

6.How is her thirst for cold drinks, hot drinks and water?

7.How is the bowel movement? Normal, constipated or loose.

8.Whether the child prefers to move around or prefers to keep still.


*****
QUESTIONNAIRE FOR AN ADULT

A homeo remedy is always selected on the basis of totality of symptoms. Please answer the following questions to help us know totality of your symptoms.

*Your age, height, weight and appearance please.

*Please describe your mental state like you are irritable, calm, worried, depressed, frustrated etc. How are your relations with your close relatives and friends?

*What do you think is the causative factor for your problems?

*Please describe your other physical symptoms like headache, backache etc.

*You prefer cold environment and open air or do you prefer warm surroundings.

*At what time of day you as an individual feel better and worse like better in the morning and worse at night.

*How is your sleep?

*How is your sweat? It is less, more or normal? Where do you sweat more like in armpits, head etc.

*How is your thirst for water, cold drinks and hot drinks?

*Whether the complaints aggravate after movements or while taking rest.

*How is your bowel movement? Constipated, loose or normal. How is the digestion?

*Do you think that you are able to satisfy your sexual desires?

*(ONLY FOR FEMALES)

If you are not having normal menstrual cycles, please answer the following questions:

- Are the periods early, regular or late in general? How long do they last?
- Do you suffer from any kind of physical or mental discomfort before, during or after the periods?
- Is the flow scanty, normal or excessive?
- Is the blood thick bright red or pale watery?
- Do you notice any clots in the flow