Consultation Questionnaire Part2

Dr. Danenberg's Questionnaire - PART 2
Please answer the questions below to the best of your ability. Thank you!

Email Address *

54. Do you have cold hands?

55. Do you have cold feet?

56. How many hours a week do you spend in the sun?

57. Of those hours in the sun, how many of them are you covered with a sunscreen product?

58. Do you have “stomach issues”?

58b. If yes, please describe:

59. Do you have generalized aches and pains?

59b. If yes, please describe:

60. Do you take Vitamin D3 supplements? *

61. What is your blood level of “25 Hydroxy Vitamin D”?

62. Have you ever taken systemic antibiotics? *

62b. If yes, when? How often? Why were you on systemic antibiotics? *

63. Have you been vaccinated with any of the COVID vaccines? *

63b. If yes, the date of the vaccine shot(s) and which one? *

63c. If yes, have you taken any booster shots? *

63d. If yes, the date(s) and how many boosters? *