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Homeopathic Healers 

Where healing is a way of life!!


P.O.Box 251, Fort Erie, ON, L2A 5M9. 

Phone:(416) 848 4346. Fax: 1-866-365 7832

 

 

Biography

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George Vithoulkas

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Additional Information

 

 

Homeopathic Questionnaire:

Homeopathy is an unique scientific modality of healing that treats diseases not in isolation but as part of the totality of the individual human being. Keeping this in mind, please be extremely honest and sincere about each of these questions and take as much time as required to answer each in detail. Remember, success in prescribing and thus recovering your own health, depends largely on the amount of information given by you and so please be elaborate (as much as is required!!) and answer each questions in details: 

  1. Past History of all illnesses/surgery since childhood listed chronologically?
  1. Chronic complaints in parents and grand parents with details?
  1. Cause of death in most relatives (including grand parents) if any prevalent predisposition like cancer/Heart disease/TB etc?
  1. List major life events in biographical order as to its’ emotional impact.
  1. The details about the origin of the current complaints like how did the complaints first start and since when and what were the peculiar, unusual symptoms at that time as also conditions that aggravated or ameliorated the complaints? Was there any physical, emotional or mental shock preceding or around the time these complaints first appeared??
  1. What are the modalities (natural things that increases or decreases the symptoms) of the complaints?? Like anxiety, weather, food, climate, posture, particular time of the day when the symptom is worse irrespective of the events?? Does weekend improve the situation??
  1. What is your preferred way of lying down when going to sleep? Do you cover yourself completely or are inclined in uncovering your feet?? Are you more chilly or warm??
  1. Do you see any dreams? What is the theme – any recurring dreams?? What are the kinds of repetitive dreams (thematic and or incidences) that you have been getting in the past??
  1. What do you do in sleep? Describe also the quality of sleep?
  1. How do you feel on waking up?? Tired - mentally and or physically; irritable; rested, confused, groggy?? Do you have a tendency of lazing in bed for long??
  1. Do you have complaints of headaches?? If yes, since when and the pain is located where and extends up to where?? What is the nature and type (like hammering, aching, lancinating, pinching, throbbing like a band, etc are some examples of how pain can be described in layman’s language) of the pain and what makes it better or worse (eg light, sound, food, talking, sleep, menses etc)??
  1. Did you ever have any other complaints regarding your head (including scalp-dandruff, headaches etc) or eyes or face or teeth or tongue or taste or sinus or nose (like obstruction sneezing etc)??
  1. Any current or past skin eruptions/problems in any form?? If yes, please provide exact location, nature of the discomfort in full details?
  1. What are you likings and aversions in foods and fruits. Describe clearly the strong likings/cravings and also strong aversions. Do you like plain milk?? Do you like raw fruits?? Describe the fruits which you like – ripe or raw? Does any food/fruit aggravate your state of being??
  1. Do you like too much salt, sweet, egg, fat of the mutton, bread??
  1. Do you drink little (2-3 glasses/day) water or a lot in a day (more than 8 glasses)?? Do you like it very cold or warm and do you drink a big quantity at a time or small quantities?? Do you love ice and chew on it??
  1. What is the aetiology of your back pains?? When do they bother you and where do they originate and where do they extend and what is the nature of the pain (i.e. describe the pain) and also what makes it better (other then medication)??
  1. Did you have or had any throat problems, gastrointestinal problems?? How is you appetite?? Any particular time when you feel most hungry regularly??
  1. How is your stool – well formed or mucoid or sticky or undigested?? Does it have any unusual odor or color?? Do you have any eructation or flatulence?? Are they empty, or with bitter/sour taste and when do they happen the most??
  1. Describe abdominal problems including pain, tenderness, flatulence, unusual stool, morning diarrhoea etc??
  1. Do you have less control over your bladder say during sneezing/traveling or otherwise (like at night)?? Any unusual nature of urinary flow or color or odor etc??
  1. For females, pls describe the age your started your first menses and how was it in the past (i.e. 28 day or otherwise cycle, flow type, color, metrorrhagia, leucorrhoea etc) and how is it in the present (if it has changed). If you are nearing menopause discuss if you have hot flushes, mood swings in details.
  1. Give all detailed diagnostic tests done recently and the reported conclusions for reference.
  1. Is there any arms/leg pain?? If yes describe where, when and the exact nature of the pain? What makes it better naturally??
  1. What are the fears/anxieties (of course illogical!!) that you have (remember everybody has atleast a couple of unconscious fears or anxieties like narrow places, heights, death, dark, thunderstorms, robbers, cats, dogs, snakes etc etc)? what kind of worries bother you the most?? Please be frank and truthful.
  1. How do you respond when you are angry/irritated??? The worst and very often??
  1. Describe any other peculiarities in behaviour or thought patterns or opinion about yourself – like excessive washing of hands etc etc – anything which you feel is unique in you.
  1. Describe briefly the five things in the world that is glaring and obvious to you that needs to be corrected??
  1. How is your sexual libido?? Anything unusual??
  2. How often do you masturbate or are inclined to masturbate?? Do you feel better or anxious or guilty after masturbation??
  1. Ant history of sexually transmitted disease???
  1. Do you worry excessively if your spouse or children do not come home by the time they are supposed to be home?? What thoughts bother you then??

Please take your time, print this page out and make a detailed answer of each question and e-mail or mail it back to me. Remember this is not a complete questionnaire but broadly outlines the requirements for effective homeopathy, the more informative you are, the better are your chances of recovering complete health faster. Do not think any symptoms is unimportant/foolish or minor or irrelevant. Homoeopathy works totally differently. Also let me have the prescriptions that you have been using since the beginning for your problem and its’ results in brief. Wherever possible, please ask you husband/wife to give her perception on matters requiring a unbiased third party view. All information given will be kept strictly confidential.