Dr. Mezaj's consultation | دکتر مزاج

consultation EN

Basic information

.Please complete all the following items carefully

:Name

:Family

:WhatsApp number

:Gender

man

woman

other

:Age

:Height (cm)

:Weight (kg)

:Blood type

:Country

:State

:Reason for referral / main complication

:Other complications/Medications being taken/Description

?What ways have you gone to treat your condition

Please answer the following questions carefully

In cases where another option is needed, choose the option that is closest to your situation

?What weather is more difficult for you to tolerate

Hot and summer

Cold and winter

?How do you get angry

I get angry easily

I get angry late

?What do you like to eat

tart

sugary

salty

?How do you speak

I speak fast and I am a talkative person

I speak softly and I am a quiet person

?What does your mouth taste like right after you wake up

bitter

sugary

sour

tasteless

?How is your bone structure

Big and thick bones

Small and delicate bones

?What type of food does your body react to

.By eating foods such as (dates, honey, walnuts, pepper, etc.), I feel very hot or stuffy

.By eating foods such as (dairy, buttermilk, watermelon, yogurt, etc.), I feel hot, shivering or very cold

?How many times do you have bowel movements during the day

Less than once

Finally two times

Three times and more

?Do you have stomach problems (bloating, reflux, burning)

Yes

?Do you have phlegm in the back of your throat when you wake up

Yes

?How is your period

regular

Irregular

I am menopausal

?Have you given birth

Yes, natural

Yes, caesarean section

Yes, both natural and cesarean section

Do you have bulimia nervosa? (Your appetite increases when you are nervous or stressed)

Yes

Do you have hypothyroidism? (This will be determined during the test)

Yes

?Do you tend to sleep a lot

Yes

?Do you have diabetes? If yes, what kind

Yes, type one

Yes, type two

?If you are overweight, which part of your body is overweight

The upper parts of my body (head, arms, chest)

Middle parts of my body (abdomen, sides, hips)

lower parts of my body (thighs, legs, calves)

I am not overweight

.Please rate the following questions from 1 to 10

(1 is the lowest amount and 10 is the highest amount)

?How did you get to know us

: Confirm the following option ***

Dr. Mezaj’s consultation

Free consultation of traditional medicine

Basic information

Please answer the following questions carefully

.Please rate the following questions from 1 to 10

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