Health Appraisal Questionnaire

This questionnaire will help us identify key signs, symptoms and specific body systems which may be currently under-functioning or imbalanced in some way and therefore contributing to your current state of health. After you first consultation with us, you may be asked to fill in and submit this questionnaire online.  

Please click on the link below and follow the prompts to complete the questionnaire.  

Please allocate between 20 - 30 minutes for this task. 

Once you are finished and click submit, the questionnaire will be automatically sent to our clinic, ready for your next visit. You do not need to print or record any of your answers. 

When asked for the Practitioner Number - Please enter: 68788

Should you have any questions please call the clinic on 0416-775-530.