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Would you be so kind to answer the following questions to help us make sure that you are happy to be a Functional/Personalised Medicine Patient and to help us understand your health goals ? Thank you for taking the time to answer the questions . May I make you aware that the questions you answers are confidential and will not be shared to any other Party.

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Thank you for your response. ✨

Name

Tick if you are you registered as a patient of a Primary Care GP? ( this would be a requirement as we do not replace a general primary care service )

Tick if you are you aware that Functional Medicine is searching for a root cause of your symptoms ? That we do not see patients with acute illness?

In a nutshell, what are your health goals ?

Do you suffer from a severe illness, such as advanced cancer, acute diseases, severe eating disorder or severe mental health disease using antipsychotic medications?

Any other queries

Thank you very much for your information above, we will be in touch shortly.