The World Health Organisation recognises Acupuncture as an effective treatment for over 100 medical conditions. Acupuncture therapy is one of the safest, most effective and cost-efficient methods of health care. Acupuncture therapy has no side effects; is completely drug free and is covered by many insurance companies and employee benefit programmes.
Questionnaire helping you discover your health
We often get into habits of eating what we think will be good for our bodies and health, and not what our bodies actually need.
A Traditional Chinese Medicine (TCM) diagnosis will be prepared from the information you supply in this health assessment questionnaire.
We will send you this together with corrective nutritional advice based on that diagnosis. The advice will be specifically for you derived from the information you supply in this questionnaire and should not be recommended to anyone else.
The Oriental approach, recognises that everyone has different nutritional and dietary needs based on their constitution. Over 2000 years of careful observation has lead to a method whereby an assessment of an individual's health can be made from understanding patterns and indicators from questioning. Acupuncture and Herbalism are based on the same principles of Traditional Chinese Medicine. A diagnosis can be derived from the answers to the following questions, and dietary advice given that will address your individual problems and restore and maintain your health.
Please read all the questions before completing this questionnaire. This will help ensure that you fill it in correctly.
Some of the questions are gender and age specific and will not relate to you. In these cases just leave them blank.
The questions relate to your condition in the last 3 months only and it is very important when thinking about the answers that you bear this in mind.
Complete this section to let us know if you have any of the symptoms listed on a regular or persistent basis. Your combined answers will allow us to diagnose your general health, strengths and weaknesses. Put a tick in as many boxes as appropriate. There will be an opportunity to answer more fully the nature of your problem(s), discomfort(s) or concern(s) later in the questionnaire. GENERAL NOTE TO ALL QUESTIONS You should only answer 'YES' if the condition asked about is regular. i.e. 1.1 Shortness of breath. If this happened once in the last 3 months do not put a tick in the 'Yes' box, however if this is something that is happening often put a tick in the 'Yes' box for this question.
This questionnaire is intended for those that want to improve their health and the advice given is not intended for treatment of major problems. We would strongly advise anyone with major concerns or medical problems to consult their doctor or medical adviser without delay. We can not accept responsibility for any worsening health condition after following the dietary advice that we give.
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