Health Questionnaire
How's Your Appetite?
Water Intake Per Day?
How's Your Digestion?
How's Your Bowel Movement?
Any Blood Transfusion recently?
Any Pain or Swelling?
Diabetes or Hypertension?
How's your Menstrual Cycle?
Any Addictions?
Any Viral Infections in last 2 - 3 Weeks?
Thyroid Issues?
Feeling Weakness & Lethargy?

Mental Health

How's your Sleep?
How's your Concentration?
Any Headache / Dizziness / Vertigo?
Do you feel Depressed?
How's Your Stress Level?
Any Family History of Psychological Disorder?

Medical History

Any Heart Operations?
Any Medicine Intake?
History of Appendectomy?
Any Health Supplements Intake?
History of Gall Bladder or Prostate Removal?
History of Hernia?

Physical Health

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Working Hours - 8 AM to 5 PM

Closed on - Monday

www.bnchywellness.com

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