Confidential Pre Consultation Health Questionnaire

Thank you for making your wellbeing appointment with Consciously Well.  Prior to the consultation we require you to complete our confidential Pre Consultation Health Questionnaire.  This enables us to have a complete picture of your requirements prior to seeing you.

The survey usually takes about 30 minutes, please take your time.  This sets the foundation for a more effective and complete initial consultation.

Please note: we recommend completing the survey in one sitting for continuity, however if that’s not possible, it will automatically save at the end of each page and you re-access the survey by clicking on the button below. (You will need to be using the same computer for this to be possible)

Survey Link