Adult Intake Form

Please complete the following questions BEFORE you book a time in the diary – It should take you no more than 4 minutes.

There are no right or wrong answers, just your thoughts.

All of your Data is stored in a safe and secure online server which meets all Privacy legislation requirements
This is to ensure your therapies are complimentary, i.e are able to work together for your best outcome.
This is just to start our discussion.
Research shows there are close links between mental and physical condititons.
This is for safety only - I have never had to use it