Welcome to SB Clinic – Follow up FormPlease complete the follow form below as fully and honestly as you can. Full Name *Email Address *When was your last consultation?SECTION 2 – KEY PROGRESS QUESTIONSOverall, compared to before, you feel:Much betterSlightly betterAbout the sameSlightly worseMuch worseUp & down / variesWere you able to take your remedies regularly?AlwaysMost daysSome daysRarelyI stoppedHad difficulty taking themSECTION 3 – SYMPTOM INTENSITY (0–10 sliders)Pain or discomfort level (0–10)Bloating / abdominal discomfort (0–10)Digestion overall (0–10)Bowel movements (0–10) (0 = very poor, 10 = excellent)Sleep quality (0–10)Anxiety / inner tension (0–10)Energy level (0–10) (0 = exhausted, 10 = excellent)Menstrual symptoms (0–10, if relevant)Skin symptoms (0–10, if relevant)SECTION 4 – SHORT OPEN QUESTIONSWhat has improved since your last appointment?What is still troubling you the most?Any new symptoms, tests, or doctor visits?Anything else you'd like to share?Submit
