Please provide approximate history and timelines (in chronological order) of your current ailments

Please describe any past illnesses or medical problems that you have experienced and recovered from.

(1) Please list all previous visits to Ayurvedic hospitals. (2) Please describe the benefits you experienced from your last Ayurvedic trip and how long the benefits lasted.

Please list any medications that you are taking presently and the dosage and frequency. 

Are you currently allergic to any foods, substances, animals or otherwise? Were you previously allergic to anything but no longer allergic?

Have you experienced any life-threatening or other serious injuries in the past? Do you still feel the effects of any past injury?

Have you undergone any surgery in the past? If yes, please describe what, when, and why.

Please describe your daily routine: wake-up time, sleep-time, meal timings, working hours, time spent on social media, time spent traveling or driving, and other uses of time.

Please describe any addictions, past or present, that you have experienced. 

Please answer the following: (1) How strong is your appetite? (2) Do you only eat when hungry? (3) Do you feel strong hunger before every meal? (4) How frequently do you eat? (5) Do you eat at the same times everyday?

Please indicate if you have any religious or spiritual practices, including yoga, mantra, prayer, occult practices, exercise, or any other forms of devotion.

How much time do you allow between each meal? Is it the same everyday? Do you eat snacks between meals? 

How much water do you drink on a daily basis? Do you drink hot water, cold water or any other forms of water?