Client Questionnaires

These are to provide me with information prior to our consultation.
Both pdf and Word format are available for each form – choose whichever suits you best.

Brief Questionnaire

If you are busy, prefer to less give minimal information, or are requesting Andean Shamanic Energy Medicine this is adequate.

Brief Client Questionnaire – pdf format

Brief Client Questionnaire – word format

Full Questionnaire

This is useful for a full homeopathic consultation, and e-Lybra9 bio-resonance analysis and balancing, if you have time to complete it.

Client full questionnaire – pdf format

Client full questionnaire – word format


Carol is a wonderful practitioner, who brings a great depth and range of knowledge to her work, along with a calm and caring presence. I would have no hesitation in recommending her services as a homeopath to others.

Trading as Refreshing Horizons Limited registered in England and Wales. Reg. No. 7090368
Reg. Office: 1 Sycamore Close, Sibford Gower, Banbury, Oxfordshire OX15 5SB

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