Questionnaire

Please download and fill in the details of the following questionnaire, either send electronically or print and bring with you. The email address to send it to is caroline@naturallyhealthycolon.co.uk.

There is also a list of contra-indications to having colonic hydrotherapy, please open the link Pre-colonic Questionnaire. Read the list of contra-indications carefully and sign the form.

Click on the images below to download the questionnaires