Questionnaire for Ear-Nose-Throat and Eyes - H. Frei, 2014

  To enable us to find a suitable homeopathic remedy,
  we need you to precisely record here all changes in how you feel which have arisen during the current illness.
  Click below whatever applies to you during your illness.


Open Air / Weather / Temperature / Wrapping up

● open air worse better
● open air desire for aversion to
● cold weather worse better
● wet cold weather worse
● warm weather worse better
● wet weather worse better
● dry weather worse better
● cold in general worse better
● warmth in general worse better
● when getting cold worse better
● wrapping up warmly worse better
● wrapping up head warmly worse better
● uncovering worse better
● warm room worse better
● becoming warm in bed worse better
● during perspiration worse better
● after perspiration worse better
● getting hot want to uncover want to stay covered up
● getting perspiring want to uncover want to stay covered up
● wet compress on body worse better
● getting wet worse
● worse wind draught


Position

● lying position worse better
● lying on back worse better
● lying on side worse better
● lying on painful side worse better
● change of position worse better
● sitting worse better
● sitting bent over worse better
● standing worse better
● bending over worse better
● muscles flappy tense


Movement / Exercise / Rest

● movement desire for aversion to
● movement worse better
● movement affected parts worse better
● shaking head worse better
● stepping hard worse better
● walking worse better
● running (jogging) worse better
● physical exercise worse better
● mental effort worse better
● travelling (bouncing) in a vehicle worse better
● resting worse better


Eating / Drinking / Talking

● swallowing worse better
● during eating worse better
● after eating worse better
● cold food and drink worse better
● after drinking worse better
● cold water worse better
● thirst thirsty absence of thirst
● appetite hunger loss of appetite
● saliva more less
● talking worse better


Sleep

● after lying down worse better
● while falling asleep worse better
● during sleep worse better
● while waking up worse better
● while getting up worse better
● after getting up worse better


Sight

● light (bright) worse better
● darkness worse better
● pupils dilated contracted
● looking at something close-op worse better
● reading worse better


Side

● side in general left right
● inside of head left right
● outside of head left right
● face left right
● eye left right
● nose left right
● ear left right
● mouth left right
● teeth left right
● neck left right


Sensation

● touch worse better
● external pressure worse better
● rubbing worse better
● smell hypersensitive weak, lost, diminished
● sneezing worse better


Mouth / Throat

● chewing worse better
● clenching teeth worse better
● burping worse better
● children's teething worse
● taste altered
● voice hoarse lost
not clear


Nose

● head cold runny blocked
worse suppressed worse
bloody burning
thick pus
yellow green
biting slimy
offensive watery
sticky
● sneezing worse
● sense od smell altered
● nose bleed bright red dark red
clotted
● adenoids adenoids


Ears

● feeling of abstruction in ears
● discharge from ear in general
bloody pus
● noises in ear in general roaring
fluttering ringing
● sounds, noises worse
● dizziness dizziness


Eyes

● conjunctiva conjunctiva
● eyelids in general
upper lower
inner surface edge
● watering of eyes
● closing eyes worse better
● opening eyes worse better


State of Mind

● (unusual) irritable mild
● (unusual) sad happy
● being alone worse better


Please note further important symptoms in your mail, if they are not in this list.


Please click on 'Save' after a last control.
Thanks a lot!