Thank you for taking the time to complete the following questionnaire. This questionnaire will help to establish where your health and wellbeing is currently situated, as well as potential areas of focus for our face to face consulting sessions. The questionnaire is comprehensive, but not exhaustive.
Your answers to this health appraisal questionnaire will assist us in gaining information about your current symptoms and health concerns. The questions can be answered as Yes or No or with some explanation where required.
We would appreciate it if you can answer all questions, as this will ensure the most accurate interpretation of your results. You may however leave a question blank if you are unsure of the answer.
Suite 213, 12 Ormond Blvd, Bundoora VIC 3083
Suite 201, Level 2 Wheelers Hill Business Centre, 202 Jells Road Wheelers Hill 3150
We are committed to protecting your privacy. Any personal information you provide, including medical details, will be kept confidential and used solely to support your healthcare needs. We will ask for your consent before sharing any information with third parties , except as required by law. Every effort is made to store data securely and to ensure your information remains safe.
