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  • PERSONAL & CONTACT INFORMATION
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  • GENERAL HEALTH HISTORY
  • HEALTHY LIVING AND WELLNESS SELF-ASSESSMENT
  • Our centre is a wellness-oriented chiropractic practice for health-conscious, wellness-minded individuals and their families. We strive to improve the overall health and wellbeing of our patients, and take a proactive approach to health care so that our patients may live healthier, happier lives. To better understand your health and wellbeing, it is important that we review your lifestyle habits. Please score yourself according to how well you match the following statements: 1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always
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  • DIETARY HABITS
  • Thank you for filling out the Registered Holistic Nutrition Health Questionnaire. We look forward to helping you with your Health!

    The Santé Chiropractic and Wellness Centre
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