SYMPTOMS IN THIS AREA YEAR YEAR YEAR YEAR
HEAD      
EYES      
EARS      
THROAT      
NECK / SPINE - CERVICAL      
SHOULDERS      
LEFT UPPER ARM      
LEFT LOWER ARM      
LEFT HAND      
RIGHT UPPER ARM      
RIGHT LOWER ARM      
RIGHT HAND      
CHEST      
RESPIRATORY      
MID SPINE - THORACIC      
LOWER SPINE - LUMBAR      
ABDOMEN      
LEFT UPPER LEG      
LEFT LOWER LEG      
LEFT FOOT      
RIGHT UPPER LEG      
RIGHT LOWER LEG      
RIGHT FOOT      
       
       

© Copyright The Lincolnshire Post-Polio Network 1999. Document preparation: Chris Salter, Original Think-tank, Cornwall, United Kingdom.
Document Reference: <URL:http://www.zynet.co.uk/ott/polio/lincolnshire/linkpin/forms/form1.html> Created: 31st March 1999. Last modification: 31st March 1999