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Sleep Disorders Melatonin
Do you believe you have the capacity to make decisions about your own healthcare?
YES
NO
Have you been diagnosed with any medical conditions?
YES
NO
Please provide more information, including diagnosis, symptoms and treatment.
Have you ever been diagnosed with a mental health condition?
YES
NO
Are you currently taking any medication? This includes prescription-only, over-the-counter and homeopathic medicines.
YES
NO
Do you suffer from any allergies?
YES
NO
Do you suffer from any allergies?
YES
NO
Is your blood pressure normal? (140/90 - 90/60)
YES
NO
Have you ever suffered from heart, liver or kidney problems?
YES
NO
Are you currently suffering from insomnia?
YES
NO
Have you tried non-medicinal sleep remedies? (such as following good sleep hygiene practices, cognitive behavioural sessions or taking herbal supplements)
YES
NO
Have you taken insomnia treatment before?
YES
NO
Have you taken any other sleeping tablets in the last 28 days?
YES
NO
Do you suffer from depression, muscle weakness, or myasthenia?
YES
NO
Are you under the care of any mental health team for mental health management?
YES
NO
Are you pregnant, breastfeeding or planning to become pregnant?
YES
NO
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