Urticaria

The Urticaria Assessment test is an on-line test to suggest a possibility of help with homeopathy. The criteria for the test in the form of a series of simple questions have been determined to suggest the chances of improvement with regard to chronic Urticaria. The sufferers Urticaria may undergo this on-line test to obtain a suggestion on the possibility of cure with homeopathy. This test is free to use. Note: Please write your e-mail (compulsory) to obtain the test result.

	Your Name*
	Phone*
	E-mail Address*

	1. Duration of Urticaria problem - Please specify since when do you suffer from urticaria disease
	0 to 6 months 6 months to 1 year 1 to 3 years 3 to 10 years 10 to 20 years 20 years or more
	2. What kind of urticaria do you have? - Please specify the kind of urticaria you have.
	Simply skin rash with itching Cold urticaria Pressure urticaria Angioneurotic edema (lip and throat swelling) Dermatography Skin rash + cold urticaria + Angio edema Skin rash with Dermatography
	3. How much of the body area gets involved with urticaria eruptions? - Specify approximate body area.
	Small part (about 10% or les) Large body area (10 to 40%) Extensive area involved (40% or more)
	4. Your age - Please specify your current age
	0 to 10 years 10 to 25 years 25 to 40 years 40 to 60 years 60 and plus
	5. Your health - How is your general health?
	Excellent Average Poor
	6. Cause of Urticaria - Please state if you have any clue above possible cause for urticaria
	Not sure May be food, colors, nuts, dust, chemicals, perfume Drugs, medicines, hormones, contraceptives Stress and emotion induced Allergens and stress
	7. What medicines have you been taking / have taken for Urticaria? - Your current and past medications
	Not taken any medicine so far I am taking antihistaminic (anti-allergic medicine) I am taking oral steroids (cortisone) Others (Non-steroidal medicine)