Medical Questionnaire – Multiple Symptom Questionnaire (MSQ)

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  • This multiple symptom screening questionnaire allows us to better understand your health status. The score will be used as follow-up progresses to assess the symptom burden present and the improvement observed.

    Write down the intensity of each symptom present in the last month, depending on your state of health.

  • Head

  • Eyes

  • Ears

  • Nose

  • Mouth / Throat

  • Skin

  • Heart

  • Lungs

  • Digestive system

  • Joints/Muscles

  • Weight

  • Energy

  • Thoughts

  • Emotions

  • Other

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