Full Name Reasons of Visit Covid-related symptoms 3-jabs? Double jabbed? Fever Dry cough Fatigued Muscle/body aches Flu Symptoms Fever Chills Fatigue Muscle/body aches Sore throat Itchy throat Mouth drying / thirsty Congestion nose Runny nose - yellow/green Runny nose - transparent sputum - yellow/green Mucus - transparent Runny nose & mucus - a significant amount Runny nose & mucus - very few & difficult to cough Cough whole day Cough in the morning (waking up) Cough before sleep Cough in the midnight Unwellness Dizzines Headache Bitter taste in mouth Mouth drying / thirsty Gagging Acid reflux Throrax Pain Tightness in the chest/Shortness of breath Emotionally irritated, feeling annoyed. Difficulty falling asleep Easy to wake up and dreamy Chronic Lower back pain Body Dysfunctions Unwarm limbs Always feeling unwarm Fatigue & lethargy Lack of appetite Constipation Diarrhoea Gassy stomach Abdominal noises Nocturia Tinnitus Daytime sweating Nighttime sweating Loss of libido Stress Level Often angry Often depressed Often frightened 1 2 3 4 5 6 7 8 9 10 Menstruation(Female Only) Early periods Late periods Irregular periods Less than 5 days More than 7 days Abnormal menstrual flow Obvious Blood clots Obvious Menstrual Pain Obvious Back Pain Obvious headache Obvious low back pain Abnormal leucorrhea Known Herb Allergy or G6PD Send
