About Dr. Satapathy
What is Homeopathy
Advantage of Homeopathy
Homeopathy & other Therapy
Homeopathy Myths and Facts
FAQ's on Homeopathy
Dr. Satapathy's Treatment Kit
For Common Diseases
Hair Fall Treatment Kit
Pre-mature Ejaculation & ED Treatment
Premenstrual Pain Treatment
Sciatica Treatment Kit
Acidity Treatment Kit
It is a questionnaire used to measure an individual's overall subjective and objective health status. Please take a few minutes to answer the questions.
HEALTH SURVEY QUESTIONNAIRE
Fields indicated with an asterisk (
) are required to send this form.
Write Down Your Detail Health Problems:
(Describe your all health problems One by one elaborately and detail with the diagnosis if you have any)
Since how many days or months you have been suffering from this / these health problem?
1 to 6 month
6 months to 1 year
1 year to 2 years
2 years to 5 years
5 years to 10 years
Above 10 years
Are you under any treatment?
If Yes, then Answer the Following Questions
What the treatments you are taking now?
Since how many days or months you have been taking this treatment?
More than 1 month, below 6 months
More than 6 months, below 1 year
More than 1 year, below 2 years
More than 2 years, below 5 years
More than 5 years, below 10 years
More than 10 years
What is the percentage of improvement after the treatment?
Around 10 to 20%
Around 20 to 400%
Around 40 to 60%
Around 60 to 80%
Are you fully satisfied with the present treatment?
Are you worried about any drug side effects of your present treatment?
Have your doctor explained you in detail about your health problems?
What is your opinion regarding the cost factor of the present treatment?
Not costly make no difference
I am not concern about the cost
Do you want any treatment which is safe, free from drug side effects, effective and cure the disease not suppress?
Do you want a treatment that not only improve your health issue but also improve your health as a whole?
Have you ever tried any alternative system of therapy?
If yes which one:
Enter Your ID for Consultation
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