BASIC ASSESSMENT FORM

BASIC ASSESSMENT

Please rate: 0 = never, 1 = sometimes, 2 = most of the time,  3 = all the time

LUNG MERIDIAN

Discomfort in shoulder, chest, upper back
Discomfort in shoulder, chest, upper back
Discomfort in shoulder, chest, upper back
Discomfort in shoulder, chest, upper back
Discomfort in shoulder, chest, upper back
Discomfort in shoulder, chest, upper back

LARGE INTESTINE MERIDIAN