Health Questionnaires

Health Questionnaires allow Dr Rach to understand your medical history and other factors that may have contributed to where you are today.

Download Dr Rach Patient Health Questionnaires

• • Adult Health Questionnaire – Please complete this if you are an adult before your first consultation with Dr Rach

• • Child Health Questionnaire – Please complete this if you are the guardian of a child before their first consultation with Dr Rach

Please also complete the 7-day Diet Diary for yourself or your child before your first visit with Dr Rach.

The following questionnaires are optional and may only need to be completed on request from Dr Rach;

• • Detox Questionnaire

• • Urinary PH Testing

• • Health Appraisal Brief Questionnaire 

If you have any questions regarding the health questionnaires, please contact ask@drrachelwyndham.com