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Do you take any medicines now? If yes, please write here. This is a very important question.

Do you take any vitamins, minerals, herbs and supplements now? If yes, please list them here. This is also very important question.

Did you suffer in past from any diseases such as cancer, hypertension, pneumonia, and mental diseases, etc.?

Do your family members suffer from any diseases such as cancer, hypertension, pneumonia, and mental diseases, etc.? If yes, please state who and what it was. Example ; Mother – breast cancer, Sister – hypothyroidism, Brother – hypertension.

Do you have any allergies? If yes, to what? For example, to gluten, to milk, to antibiotics. This is a very important question.

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