Which minor ailment are you seeking information on?
Headache Sore throat Upset stomach Common cold Muscle aches
How long have you been experiencing this ailment?
Less than a day 1-3 days 3-5 days More than a week Recurring
Have you consulted a healthcare professional?
Yes No - considering No - not considering No - resolved
Do you have any allergies or medical conditions?
None Allergies Asthma Diabetes Other conditions
How would you rate the severity of your symptoms?
Mild Moderate Severe
All set, how can we reach you?
Name
Email
Phone
(Details here)
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