Name *
Name
How would you describe your subjective temperature? *
Do you ever sweat without exertion? *
Do you suffer from headaches? *
Do you suffer from dizziness? *
Please select any present eye conditions. *
Do you ever get ringing in your ears?
Do you ever notice your own heartbeat? *
Do you have any body pain? *
Please describe your digestion. *
Please select any urinary conditions. *
Please describe the quality of your bowel movements. *
How would you describe your thirst? *
How would you describe your hunger? *
Please describe your sleep. *