Private Health Consultation

Consultation Process

What's involved in a natural health consultation?

Click through the 6 steps below to see a summary of the full health consultation process

Holistic Health Consultation

First name

Last name

Date of Birth

Day

Month

Year

Email Address

Phone

Occupation / Job

Your Height (cm)

Your Weight (kg)

Are you...

Pregnant

Soon to become pregnant

Breastfeeding

None

Diet & Nutrition

General

Have you ever been diagnosed with any food-related conditions?

On average, how many meals do you eat each day?

2-3

Do you typically snack between meals, if so what do you eat?

How many portions of fruit do you eat per day (average)

0-2

2-5

How many portions of vegetables do you eat per day (average)

0-2

2-5

How many times do you eat processed foods (including pre-packaged food) per week (average)

0-2

2-5

How many times do you cook with wholefoods per week (average)

0-2

2-5

How many sugary foods do you consume per day on average (do not include fruit)

None

1-2

How many litres of water do you drink per day (average)

0-1

1-2

Other

How many alcoholic drinks do you consume per day (average)

1-3

If you know, how many units

How many cups of coffee do you drink per day (average)

1-2

3-5

I live on coffee

Do you consume sugar substitutes or sugar-free drinks? Briefly describe them

Do you, or have you smoked cigarettes?

How many cigarettes do you smoke per day (average)

1-5

5-10

10+

How often do you use a vape pen?

Never

2-3 times per day

Regularly

Constantly

Movement

Is there anything preventing you from exercising?

How many times per week do you engage in physical activity (average)

Physical Activity?

Once or twice

Daily

What time of activity is most common

How many hours per day do you spend sitting (average)

0-5

5-10

10+

Other

How many hours of sleep do you have per night (average)

0-4

4-6

7-8

Would you describe your sleep as...

Deep and undisturbed

Light and easily disturbed

It varies

How do you most often wake up feeling?

Do you wake up feeling...

Well-rested

Tired

Light and easily disturbed

It varies

How do you typically handle stress?

How often do you socialise with people per week (other than family)

Never

Once or twice

Regularly

Daily

Medical History

Have you been diagnosed with an ongoing condition?

Have you ever been diagnosed with a condition you no longer have?

Do you have any long-term recurring symptoms?

Do you have a family history of specific illness? (back to grandparents on both sides)