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Gem & Essence Therapy Questionnaire

Gem & Essence Therapy at The Natural Medicine Practice

For the distance Gem & Essence therapy it is necessary to describe the issue(s) you would like assistance with.

You can 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.

Questionnaires

Word document

Download Questionnaire in Word format

PDF document

Download Questionnaire in PDF format

Fee – Adult and Child £55


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