lijst

Questionnaire

If you fill out the confidential questionnaire below, you will receive a non-binding personal advice from us with concise explanations.

Questionnaire

Patient questionnaire

1. General Condition

2. Sleep

3. Digestive tract

4. Bloodcirculation

5. Brain functions / Emotion balance

6. Skin

7. Nails

8. Urinary tract – sexual organs

9. Musculoskeletelal system

10. Senses

11. Respiratory tract

Remarks

lijst