New Patient Questionnaires

For Adults (13 years and over):

Download and complete all 3 questionnaires below:

1. Women’s Holistic Health Questionnaire OR Men’s Holistic Health Questionnaire

2. Download and complete the Health Appraisal Questionnaire

3. Download and complete the Patient Motivation Profile

For Children (Under 13 years old):

1. Download and complete the Children's Holistic Health Questionnaire

Prior to your Initial Consultation:

• Please read the Cancellation Policy

• Email your completed forms to clairenaturopath@outlook.com

Thank you.