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Allergies Assessment Test

Name

Phone

City

Do you frequently fall sick with Sneezing, Cold, cough, Fever, Pain throat?

Is there a need to take Anti-allergic/Antibiotics on a frequent basis?

Are you having any Difficulty in breathing?

Do you face any Skin issues like Eczema, Eruptions?

Do you have Family history of Allergy / Asthma/ T. B /Sinusitis/Bronchitis?

Do you frequently suffer from Stomach complaints like loose motions?

Does any Weather change affect your health?

Do you frequently use Inhalers or Nasal drops, Nebulizers?

Do you feel any Whistling sound while breathing?