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Solid Shampoo Bar Oily Hair

The Australian Natural Soap Company

The Aust. Natural Soap Co Solid Shampoo Bar Oily Hair

Sodium Prunus Amygdalus Sativa Kernel Oil, Sodium Grapeseedate, Sodium Cocos Nucifera, Cymbopogon Citratus (Lemongrass) Leaf Oil, Cedrus Deodora (Cedarwood) Wood Oil, Melaleuca Alternifolia (Tea Tree) Leaf Oil, Citrus Limon (Lemon) Peel Oil.

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Practitioner Health Questionnaire

Name

Age

Gender Male Female

Primary Health Complaint

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When did they start?

Is there any thing that them better or worse?

Is there a family history of these symptoms ?

Diet and Life style

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What is the quality of your sleep(out of 10,where 10 is best quality)

General stress levels(out of 10,where 10 is the highest)

Overall diet(out of 10,where 10 is the healthiest)

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Medical History

Arthritis

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Coeliac disease

Diabetes

Epilepsy

Glaucoma

Heart Condition

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Inflammatory Bowel disease

Lactose in tolerance

Stomachulcers

Thyroid

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Supplements

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Solid Shampoo Bar Oily Hair

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