Tonsillitis Questionnaire 940 E. El Camino Real Sunnyvale, CA 94087 harminder@homeopathicvibes.com www.homeopathicvibes.com Office Phone (408)737-7100 Office Fax (408)737-7102 Name *FirstLastEmail *Phone *How long have you had the tonsillitis? One to six month Six months to year Year or more Is there a history of recurrent tonsillitis? Yes NoDon’t know Do you know if it is acute or chronic? Yes NoDon’t know How often you get this inflammation of tonsils? Less than 2-3 times a week. More than 2-3 times a weekothers Are both tonsils are of same sizeBoth are same size Left is bigger than rightRight is bigger than leftDo you have bad breath? Yes NoAlways bothering Tonsils when touched? Soft Hard Like a stone Are your tonsils when inflamed? Red Red with white spots Pus is visible Having tonsillitis, do you ever felt? Tired Fever night sweats lost weight Do you snore at night? Never Sometimes Always Does your mouth get dry at night? Never Sometimes Always How were you treating these in the past? Taking antibiotics Taking natural remedies Homeopathic remedies others Did your ever had swollen, adenoids, lymph nodes, sore throat, pharyngitis etc. Yes No Never Don’t know NameSubmit