Download Health Questionnaire
Once you have booked your appointment please download the health questionnaire and complete it in as much detail as possible. This will be the basis of discussion at the first assessment appointment. You may use additional sheets for any section or add additional comments on the form.
Please be as honest as possible in all sections in order that your therapist can make an accurate assessment.
Please ensure you list all medications and supplements including those you may buy ‘over the counter’ for headaches and stomach issues – this is very important in order to formulate a safe programme taking into consideration any drug/nutrient interactions.
Once completed, please post to Change Nutrition using the address on the questionnaire to arrive no later than 5 working days prior to your appointment and including payment for your first appointment ( or pay online)
If you are unable to answer any questions , please leave blank but mark them with a question mark (?) and these areas can be discussed at your appointment