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Client forms and diaries
If your practitioner has asked you to complete a diary or form before your next consultation, you can download a replacement copy below.
Please complete only the form requested by your practitioner. Once completed, email it to lifeflownaturopathy@gmail.com before your next appointment, unless your practitioner has provided different instructions.
If you are unsure which form you need, please contact us before completing it.
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New client intake form
Before your appointment
To help us make the most of our time together, I request you complete a questionnaire before your first consult. It helps me understand your health history, current concerns and what matters most to you, so we can dive deeper in session rather than spending the whole time on paperwork. -
DASS-21
Mental health screening tool.
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7-day food diary
Please complete it and add any symptoms felt to assess any relationships between food and your symptoms.
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Quality of life scale
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Sleep Diary
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Gastrointestinal Symptom Rating Scale