scott ollins naturopath
TRANSCRIPT
SCOT T COLL INS NATUROPATH W W W . S C O T T C O L L I N S . C O M . A U
W E L L N E S S A S S E S S M E N T Q U E S T I O N N A I R E Congratulations on wanting to explore your health and become the real healthy vibrant you. What you should note, is that this questionnaire is not intended for diagnostic purposes, nor does it replace the need to consult with a health professional. It is a tool that promotes you thinking about your health and your body over a wide range of areas. Having an understanding of your body, knowing how your body works and knowing what is normal is an important part of proactive health care. The aim of a naturopathic health consultation is to identify the dietary and lifestyle factors that ultimately impact upon your health. The naturopath’s intention is also to provide education that enables you to become more self aware and empowered in regards to your health. The following questionnaire will take approximately 20 minutes to complete, and if you’re not sure about an area move on to the next section. Once you have completed the questionnaire proceed to add up all the scores. You will quickly see the priority areas requiring more attention, which will be discusses at your appointment.
Remember this is only a guide and is NOT or is it a substitute for a MEDICAL DIAGNOSIS.
Our Team are qualified Australian Naturopathic practitioners who use nutrition, herbal medicine and diet therapy, in assisting clients to reach their health goals. The naturopath will asses clients individual health needs via an in depth thorough consultation, in conjunction with the comprehensive health appraisal. It would be appreciated if you can complete the form prior your appointment or arriving 20 minutes early to allow time to complete the form. We look forward to working with you to achieve your health goals and help set the stage for a happier and healthy life. Yours in Health and Happiness Scott Collins BHSc, Adv Dip HSc Naturopathy
33 PEAK AVENUE MAIN BEACH Q, 4217 PHONE 5526 4955 E: [email protected]
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AC
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ro
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rops
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NIA
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AT
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ay
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ay b
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ER
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ay
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erm
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in s
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ath
or a
s
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ak b
ath
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min
s)
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ZE
MA
Lute
ol P
lus
(IT
) 1
tabl
et th
ree
times
a d
ay
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unoc
are
1 ta
blet
thre
e tim
es a
day
U
ltra
EPA
Liq
uid
1-2
teas
poon
s da
ily
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PS
OR
IAS
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ucos
tat (
IT)
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psul
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ice
daily
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mun
ocar
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tabl
et th
ree
times
a d
ay
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a E
PA L
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daily
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ID
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XS
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P 1
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rob
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ore
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tat
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tabl
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twic
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od
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a P
robi
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teas
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s th
ree
times
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plee
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thr
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mes
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ay a
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t R
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up
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a F
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ons
in w
ater
thre
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es a
day
G
luta
geni
cs
1-2
teas
poon
s th
ree
times
a d
ay
Gas
troA
G
1-2
teas
poon
s th
ree
times
a d
ay
ST
EP
3 -
Liv
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2-4
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T
herm
o P
hase
Det
ox
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thre
e tim
es a
day
or
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a C
lear
PLU
S
1 se
rve
thre
e tim
es a
day
P
hyto
Pro
2-
3 ta
blet
s tw
ice
daily
Li
poge
n 1
tabl
et th
ree
times
a d
ay b
efor
e m
eals
S
yste
mic
Det
ox
5-10
dro
ps th
ree
times
a d
ay a
fter
mea
ls
X
IV
OV
ER
WE
IGH
T-Usethe
KetoS
ystem
K
etos
lim
1 se
rve
two
times
a d
ay
Ket
o B
ar
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bar
as a
sna
ck b
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ls
Met
a O
il 1-
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twic
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ily
Fib
ropl
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lus
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aspo
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twic
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ily
XV
W
ELL
NE
SS
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AIN
TE
NA
NC
E
G
EN
ER
AL
PO
PU
LA
TIO
N
Mul
tigen
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Phy
to P
lus
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blet
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e da
ily
Met
a E
PA/D
HA
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ule
twic
e da
ily
Phy
to P
ro
1 ta
blet
twic
e da
ily
F
EM
AL
E O
VE
R 5
0 Y
EA
RS
OF
AG
E
F
emm
e E
ssen
tials
1
tabl
et o
nce
a da
y
Cal
citit
e H
i-Str
engt
h 1-
2 ta
blet
s tw
ice
daily
E
stro
Fact
ors
1 ca
psul
e th
ree
times
a d
ay
M
AL
E O
VE
R 5
0 Y
EA
RS
OF
AG
E
M
ultig
enic
s P
hyto
Plu
s 1
tabl
et tw
ice
daily
P
alm
etto
Plu
s 1-
2 ta
blet
s tw
ice
daily
P
RE
CO
NC
EP
TIO
N C
AR
E
Zin
c Ta
lly
Che
ck Z
inc
leve
ls, s
uppl
emen
t if n
eede
d
Fem
me
Ess
entia
ls
1-2
tabl
ets
twic
e da
ily
Fib
ropl
ex P
lus
2 te
aspo
ons
twic
e da
ily
P
RE
GN
AN
T /
BR
EA
ST
FE
ED
ING
Fem
me
Ess
entia
ls
1 ta
blet
twic
e da
ily
Met
a E
PA/D
HA
Liq
uid
1-2
teas
poon
s da
ily
Hem
agen
ics
Inte
nsiv
e C
are
1
tabl
et th
ree
times
a d
ay
(if r
equi
red)
(IT
) -
Inno
vativ
e T
hera
pies
pro
duct
s ar
e on
ly a
vaila
ble
in Q
ld. a
nd o
nly
thro
ugh
the
Pat
ient
Ord
er S
yste
m.
MET1568 - 12/05