| SECTION
I (Musculoskeletal) |
|
Please use the following
numbers to represent your experience with the following list of symptoms:
| 1-
Presently have. |
4-
Not having now but repeatedly bothered by. |
| 2-
Have had in the past 2 years but not now. |
5-
Not me but other family members. |
| 3-
Have had, but no symptoms in the past 2 years. |
Leave
blank if none apply. |
|
|
Arthritis (16) |
Lupus Erythematosus (120) |
|
Body Aches (22) |
Muscle Spasm (132) |
|
Bone and Joint Pain (24) |
Myofascial Pain (197) |
|
Bursitis (298) |
Osteoarthritis (239) |
|
Chewing Disturbance (207) |
Osteomyelitis (144) |
|
Exostosis (67) |
Osteoporosis (145) |
|
Extremity Joint Pain (68) |
Periarthritis (149) |
|
Fractures (77) |
Periostitis (152) |
|
Gout (85) |
Radicular & Joint Pain (162) |
|
Headaches (88) |
Rheumatoid Arthritis (164) |
|
Inflammations (103) |
Shingles (168) |
|
Intercostal Neuralgia (107) |
Sprains (172) |
|
Jaw Ache (233) |
Stiffness (174) |
|
Ligament Damage (234) |
Subluxations (180) |