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physical symtoms

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
1

Do you have hot sweats in the night?

if so, is this related to any condition you suffer from/ when does it tend to come on?
2

When do you experience chest pains?

have there been occasions where it has led to a serious condition?
3

Have you ever struggled to control your breathing? if so, what is the worst that has happened?

4

When you are tired and overwhelmed do you feel your body is weak and not capable of much?

what makes you think this is true?
5

If you have had children how has your body changed?

are there ways in which your body hasnt recovered or is not the same?
6

Do you ever feel like you dont have enough energy for your kids and you are failing at being a good parent?

what would you say you spend most of your energy on in the day?