New Patient Questionnaires

For Adults (13 years and over):

  1. Download and complete the appropriate questionnaire below:

    Men’s Holistic Health Questionnaire

    Women’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 and email your completed forms to clairenaturopath@outlook.com or click on the button below.