Consultation Questionnaire - Kanata Chiropractor

Consultation Questionnaire

Welcome to Synergy Wellness Group!

For your convenience, your consultation questionnaire is attached.

Please print it, complete it and bring it with you to your appointment to help save you time.

If you’d prefer to complete it in office, please come 20 minutes prior to your appointment time.

Please note that certain behaviours can compromise the accuracy of your Neuro-Structural Examination™. Please refrain from consuming caffeinated beverages or other stimulants 3 hours prior and avoid vigorous exercise on the day of your appointment.

If you have any questions, please let us know. We are here to help!

Kayleigh
Chiropractic Assistant

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