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Homeopathy Questionnaire

Homeopathy at The Natural Medicine Practice

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

Word document

Download Initial Consultation Questionnaire in Word format

PDF document

Download Initial Consultation Questionnaire in PDF

Adult Fee: £85

Child Fee: £65


Subsequent Consultation

Word document

Download Subsequent Consultation Questionnaire in Word format

PDF document

Download Subsequent Consultation Questionnaire in PDF

Adult Fee: £65

Child Fee: £55

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