To benefit from the distance
homeopathic treatment it is necessary to answer the
appropriate questionnaire. Do not feel that you have to
answer every question. It would be beneficial to supply as
much information as is comfortable and possible.
You can print/download a questionnaire in either Word or PDF format
below. Please complete in as much detail as possible and return to
The Natural Medicine Practice. Please right-click on the appropriate symbol and click on "print" to print out the questionnaire or "save target as" to save the questionnaire in your preferred format.
Initial
consultation
Subsequent
consultation
(Questionnaire Word
format)
(Questionnaire PDF format)
(Questionnaire Word format)
(Questionnaire PDF format)
Fee
£85 adult
Fee
£65 child
Fee
£65 adult
Fee
£55 child
Pay quickly and securely
online via Paypal by clicking on the button above or
Pay via cheque made payable to The Natural Medicine
Practice