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As a new client at Reflex 2 Health, we need to get to know you a little better so that you get exactly what you need from your session. Mandatory questions are marked with a green asterix, the remaining questions are optional.

Contact Information

Health Fund Information

Personal Background

Are you an elderly or disability carer?
Are you currently pregnant?

Lifestyle Questions

Are you a smoker?
How would you describe the quality of your sleep?

Medical Conditions

Final Questions

How did you hear about Reflex 2 Health?
Would you like to receive the quarterly Reflex 2 Health Newsletter by email? It contains specials, offers, health and wellness information, workshops and events.
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