|
Sex/ Gender
|
|
|
What is your age?
|
|
|
Did any of your family members suffer from thyroid ailments? (Parents, aunts, grand parents, uncles, etc.)
|
|
|
Since when have you been suffering from Under-active Thyroid (hypothyroid)?
|
|
|
Have you been taking some Thyroid supplement (Eltroxin, Thyronorm, Synthroid)?
|
|
|
Since when have you been taking Thyroid supplement such as Eltroxin, Thyronorm, Synthroid?
|
|
|
1 |