Application

NHS 300: Limited to the qualified applicants

NHS 300

Qualified Applicants
£420
£ 60
  • 6 sessions
  • £360 Savings
  • 100% Charitable Donation
Charitable

Client Questionnaire

Confidential Application
On a scale of 1 to 10 how satisfied are you with the following?
(1 = low/worst and 10 = high/best)
Stress
Energy
On a scale of 1 to 10 how satisfied are you with the following?
(1 = low/worst and 10 = high/best)
Exercise
Sleep
On a scale of 1 to 10 how satisfied are you with the following?
(1 = low/worst and 10 = high/best)
Relationships
Relaxation
On a scale of 1 to 10 how satisfied are you with the following?
(1 = low/worst and 10 = high/best)
Nutrition
Digestion
On a scale of 1 to 10 how satisfied are you with the following?
(1 = low/worst and 10 = high/best)
Pain
Please tick if you are experiencing or are concerned about the following:

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