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Before we continue
Have you or any of your family members ever suffered from any of the following illnesses?

Cardiovascular conditions

High blood pressureHeart DiseaseHeart Cholesterol Level

Respiratory

AsthmaChronic Obstructive Airway DiseaseSinus Disease

Endocrine

Thyroid DiseaseDiabetes Mellitus

Neurological

ParalysisEpilepsy

Blood disorder

Sickle Cell DiseaseLeukemia

Musculosketal

AthritisGoutChronic Back Pain/Slipped Disc

Genito-Urinary

Pelvic inflammatory Disease (Female)Fibroids (Female)Enlargement of the prostate(Male)

None of the above

None of the above
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