To further help our visitors, we suggest that if interested in obtaining the proper Chinese formulas to address specific illnesses or diseases, the questionnaire below be completed.
These questions, will help us, help you to assess the proper course of action to be taken, and to determine which form of alternative therapy or remedies would be appropriate and most effective.
There is a $25 charge for this service please complete questionnaire and email us your responses to: clinician@doctor.com
Please remember that our recommendations are not intended to medically prescribe or promote any herbs or products, nor is our intention to replace medical care. If you have, or think you have, a condition which requires immediate medical attention you should promptly seek medical care.
Questions
Name ? Email ? Location ? Age ? Sex ? Height ? Weight ?
What is your presenting condition or health problem ?
Do you lead an active or sedentary life ? Do you exercise ? Are you sexually active ?
Are your menstrual periods normal?
Are your extremities, (hands, feet), cold or hot often ?
What is the color and texture of your tongue ? Pale? Dark red ? Bright red ? White ? Pink ? Covered with film ? Thick ?
What color is your urine ? Clear ? Pale yellow ? Dark or deep yellow ? Murky ?
Do you have any problems with bowel movements?
What illnesses have you suffered in the past ?
What is your family's medical history ?
Are you allergic to any substance or medication ?
Do you drink alcohol often or use other drugs ?
What sort of diet, if any, do you follow ?
Are you often stressed ? Do you sleep well ?
What other alternative remedies have you tried?
We check our Email hourly, and will contact you immediately upon receipt of your answers.
Due to time constraints and the heavy volume of questions in this and in our other sites, there is a charge of $35 per consultation. To pay, please use the Paypal to pay. Paypal is a secure, trusted and well-respected web pay. We will email you your answers immediately upon receipt of payment.
After submitting your Answers, and receiving our suggestions you may contact us directly and if also purchasing from Our Catalog receive a $5 credit on your final bill.
Thank-you.
