Health Questionaire

Answer the questions in the form below to get a personalised recommendation on the treatment we believe will suit you best.
*Disclaimer: If you are in immediate danger, please contact your doctor

Whats Your Name?(Required)
Are you here for yourself or a loved one?(Required)
How much of your time is spent worrying about your condition?(Required)
If you choose anyone other than yourself, does it concern you that it effects others?
Have you sought help for your condition in the past?(Required)

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