Consultation Questionnaire

Selected Value: 2
0 Insomnia, 1 Constantly waking, 2 Occasionally restless, 3 Rarely waking, 4 Refreshing sleep
Selected Value: 2
0 Not at all 1 Somewhat fit, 2 Occasionally active 3 Average fit 4 High fitness
Selected Value: 2
0 Least Contented, 1 Somewhat, 2 Occasionally Contented 3 Average, 4 High Contentment
Selected Value: 2
0 Least Contented, 1 Somewhat, 2 Occasionally Contented 3 Average, 4 High Contentment
Selected Value: 2
0 Least Contented, 1 Somewhat, 2 Occasionally Content, 3 Average, 4 No Anxiety or pain
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