Question 1 of 13
Have you previously experienced motion sickness?
Question 2 of 13
What activities have previously caused motion sickness?
Question 3 of 13
Have you ever taken any medications for motion sickness symptoms?
Question 4 of 13
Which of these motion sickness symptoms have you experienced?
Question 5 of 13
Why do you need help with motion-sickness today?
Question 6 of 13
For how long will you be doing the activities that cause motion sickness?
Question 7 of 13
Will you be DOING any of these activities in the near future?
Question 8 of 13
Do you have ringing in your ears?
Question 9 of 13
Do you have any health conditions?
Question 10 of 13
Are you taking any medications or supplements?
Question 11 of 13
Do you have any allergies?
Question 12 of 13
Is there any further information you would like to provide?
Question 13 of 13
Would you like to have a video or telephone consultation?