Dheemahi Medical Questionnaire

Name

First NameLast Name

E-mail

Phone Number

Country CodePhone Number

Emergency Contact

Country CodePhone Number

Age

Gender

Other

Probable Duration of stay at Dheemahi

Start Date

DayMonthYear

End Date

DayMonthYear

Are you coming for a General Cleansing and Rejuvenation ?

Specific list of symptoms bothering you the most?

Which factors aggravate your symptoms ?

For Eg Cold or hot climate increasing joint pain, Stress increasing symptoms..

Which factors reduce your symptoms ?

For eg, rest gives lower back pain relief, exercise makes body feel lighter etc

What are your medical social expectations from a trip to Dheemahi ?

Matching your expectation with our service and Cure possibility is very important for mutual satisfaction

What is your job? How does it affect your health of mind and body?

How does family life affect your health of mind and body?

History of any Ayurvedic therapies or any form of energy healing therapies and the duration of its effect lasting in body

Current medications that you are utilizing if any

Daily Habits – Include Waking up time till sleeping time, duration of gadgets usage, Exercise routines, Meal timings..

Appetite do you feel definite , timely hunger ?

Ice cold/normal/warm water intake ?

Other

How often in a day do you visit toilet ?

Stools float or sink in water of toilet closet ?

Is it Satisfactory evacuation ? or Incomplete bowel evacuation ?

Number of urination frequency in a day ?

Day and night combined

Decreased or strained or difficult flow ?

Sweating easily or with difficulty ?

Foul smell to clothes by sweat ?

Sleep Duration

how many hours

Day sleep habits ?

Habit of postponing sleep when demanded by body ?

Feeling tired and drained even after sleeping long hours ?

Are you constantly stressed ?

Feel emotionally low, if so the degree of it

Height

Mention the Unit Centimetres or Inches

Weight

Mention the Unit Kilo Gram or Pounds

Is the tongue with coating ? can you look in the mirror

Any cardiac history ? Do you feel very breathless on climbing stairs or climbing uphill ?

Menstrual history and present pattern, regularity, flow quantity , specific features Obstetrics history if relevant

Medical Records

Upload Files

Upload relevant medical records

Room Type - All inclusive cost

Daily upto 90 / 180 minutes treatment sessions are available

Number of guests

Enter the number

Airport Pickup?

Special Requests

A copy of your responses will be emailed to the address you provided.