Thank you for taking the time to complete the Wellness Check Questionnaire. Please fill out the following questions to the best of your ability. When completed, you'll be able to print your results and take them to your practitioner for further evaluation.
Please note: the information you provide is confidential, and we do not track, save or share your responses.
Also, when completed, you will be able to send results to yourself and me. Please forward results to: firstname.lastname@example.org
Please click on the link below for your free Wellness Check.