Please download one of the following forms:

Health Appraisal Form

Opening the forms requires either:
Microsoft Excel
or
Open Office (free download)

Once you have opened the form you will need to follow the instructions carefully. Putting in your name, age and gender then placing the appropriate number at the end of each statement or question. When you have completed the questionnaire you can e-mail it to docjohn@keefeclinic.com