Strategic Health Mapping
Your Health Mapping
Dr. Heba Haddara، Physician · Functional Medicine.
Your symptoms, results and daily life belong to one story. This questionnaire puts the pieces side by side, in your own words, before any appointment. Take about 30 minutes, with a pen, and write as little or as much as you like. There are no right answers, and nothing here is a test.
This questionnaire does not diagnose anything and is not medical advice. Alongside your other doctors. Never instead of them. Please keep taking any treatment your doctors have prescribed.
Part 1. Your symptoms
What you feel, and since when. A few words in each row are enough. Rate each area from 1 (no concern) to 5 (it affects my day).
| Area | Since when | 1 to 5 | Better or worse with |
|---|---|---|---|
| Energy and tiredness | |||
| Sleep | |||
| Weight and appetite | |||
| Mood and stress | |||
| Focus and memory | |||
| Digestion | |||
| Hot flushes, sweats, cycle | |||
| Joints, skin and hair | |||
| Anything else |
Missing answers are fine. Skip what does not apply.
Part 2. Your history
The doctors you have seen, the tests you have had and what you were told. Missing pieces are fine.
| Doctor or test | When | What I was told |
|---|---|---|
Medicines and supplements I take now, with the dose if you know it:
Health in my family that I think matters:
Part 3. Your daily life
Health does not happen in a clinic. A few words on each:
- Sleep routine
- Food and drink
- Movement
- Work and daily pace
- Family and responsibilities
- What feels heavy right now
Part 4. Your map on one page
Now look back at the three parts. What do you notice?
What seems to come together? Things that began around the same time, or get worse together.
If your health were clearer and steadier, what would you like to be doing again?
The three questions I most want answered:
Your next step
Keep this, and book your free 15-minute call with Dr. Heba’s team. We will read your answers together and help you choose where to start. Alongside your other doctors, never instead of them.
Physician, licensed in Clinical Nutrition (Therapeutic Nutrition) · Cairo and online. drhebahaddara.com