Download Questionnaire

To save time when visiting the clinic, the following documents are made available for you to print out and complete at home. They are available as Microsoft Word Documents or Acrobat PDFs.

1. Clinic General Questionnaire - Word / PDF
2. Clinic Questionnaire for Women - Word / PDF
3. Clinic MYOP1 Initial Questionnaire - Word / PDF
    
4. Thermal Imaging (DITI) Breast Screening Questionnaire - Word / PDF
5. Thermal Imaging (DITI) Body Region Questionnaire - Word / PDF
   DITI Important Information for Patients - Word / PDF
    
6. Electro-Lymphatic Therapy Questionnaire - Word / PDF

For Women - Please complete questionnaires 1,2 & 3

For Men - Please complete questionnaires 1 & 3