S COTT C OLLINS N ATUROPATH WWW .S COTT C OLLINS . COM . AU WELLNESS ASSESSMENT QUESTIONNAIRE Congratulations on wanting to explore your health and become the real healthy vibrant you. What you should note, is that this questionnaire is not intended for diagnostic purposes, nor does it replace the need to consult with a health professional. It is a tool that promotes you thinking about your health and your body over a wide range of areas. Having an understanding of your body, knowing how your body works and knowing what is normal is an important part of proactive health care. The aim of a naturopathic health consultation is to identify the dietary and lifestyle factors that ultimately impact upon your health. The naturopath’s intention is also to provide education that enables you to become more self aware and empowered in regards to your health. The following questionnaire will take approximately 20 minutes to complete, and if you’re not sure about an area move on to the next section. Once you have completed the questionnaire proceed to add up all the scores. You will quickly see the priority areas requiring more attention, which will be discusses at your appointment. Remember this is only a guide and is NOT or is it a substitute for a MEDICAL DIAGNOSIS. Our Team are qualified Australian Naturopathic practitioners who use nutrition, herbal medicine and diet therapy, in assisting clients to reach their health goals. The naturopath will asses clients individual health needs via an in depth thorough consultation, in conjunction with the comprehensive health appraisal. It would be appreciated if you can complete the form prior your appointment or arriving 20 minutes early to allow time to complete the form. We look forward to working with you to achieve your health goals and help set the stage for a happier and healthy life. Yours in Health and Happiness Scott Collins BHSc, Adv Dip HSc Naturopathy 33 PEAK AVENUE MAIN BEACH Q, 4217 PHONE 5526 4955 E: ADMIN@SCOTTCOLLINS.COM.AU
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SCOT T COLL INS NATUROPATH W W W . S C O T T C O L L I N S . C O M . A U
W E L L N E S S A S S E S S M E N T Q U E S T I O N N A I R E Congratulations on wanting to explore your health and become the real healthy vibrant you. What you should note, is that this questionnaire is not intended for diagnostic purposes, nor does it replace the need to consult with a health professional. It is a tool that promotes you thinking about your health and your body over a wide range of areas. Having an understanding of your body, knowing how your body works and knowing what is normal is an important part of proactive health care. The aim of a naturopathic health consultation is to identify the dietary and lifestyle factors that ultimately impact upon your health. The naturopath’s intention is also to provide education that enables you to become more self aware and empowered in regards to your health. The following questionnaire will take approximately 20 minutes to complete, and if you’re not sure about an area move on to the next section. Once you have completed the questionnaire proceed to add up all the scores. You will quickly see the priority areas requiring more attention, which will be discusses at your appointment.
Remember this is only a guide and is NOT or is it a substitute for a MEDICAL DIAGNOSIS.
Our Team are qualified Australian Naturopathic practitioners who use nutrition, herbal medicine and diet therapy, in assisting clients to reach their health goals. The naturopath will asses clients individual health needs via an in depth thorough consultation, in conjunction with the comprehensive health appraisal. It would be appreciated if you can complete the form prior your appointment or arriving 20 minutes early to allow time to complete the form. We look forward to working with you to achieve your health goals and help set the stage for a happier and healthy life. Yours in Health and Happiness Scott Collins BHSc, Adv Dip HSc Naturopathy
33 PEAK AVENUE MAIN BEACH Q, 4217 PHONE 5526 4955 E: [email protected]