Questionnaires

 

The questionnaire's outlined below are an important part of your initial consultation. Accurate completion of this form will ensure the most effective use of your scheduled consultation time. These questions will help to identify any underlying causes of illness and will assist in developing the most optimal nutrition plan that is both unique to you and complimentary to your lifestyle.

All information gathered is completely confidential, protected by 128 bit SSL encryption and covered under the privacy act. It is important that you are as honest and accurate as possible in order to get the most out of your program.

Thank you for taking the time to fulfill a pre-consultation nutrition questionnaire.

This is an important stage of your consultation. Please fulfill this form accurately to ensure the most effective use of your scheduled appointment.

This is an important stage of your child’s initial consultation. Accurate completion of this form will ensure more effective use of your scheduled appointment.

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Juliette Francois is a holistic nutritionist, homeopath, Kinergetics practitioner and speaker who operates out of Sydney's northern shores.

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