Consult Form - Catherine Edwards

Thank You for Booking a Consult

Please now take your time completing this form

Please make sure that you are on the correct form using the buttons below (Humans or Animals) before completing.

ANIMAL CONSULTS FORM

HUMAN CONSULTS FORM

Animal Consults
Human Consults

CONSULT FORM FOR ANIMALS

The more detail you provide, the more accurate, personalised, and effective your consultation will be.

For example:

Diet: Please include exact brands, recipes, portion sizes, feeding times, and any supplements (including how long they’ve been used).

Lifestyle & Walking: Approximate walking times in relation to feeding, usual locations, and whether walks are near farms, golf courses, parks, or other potential environmental exposures.

Home & Environment: Household cleaners, garden chemicals, nearby farmland or public green spaces, and anything else that may contribute to toxic load.

Every detail helps me build a clear picture of what’s influencing your or your animal’s health.

Thank you for taking the time — your thoroughness genuinely makes a difference in the results we can achieve together.

Which consult have you booked?*
- Reset & Recharge
- Deep Reset Package
- Mentoring & Support
- Animal Communication
- Quick Clarity Consult
(If you've booked more than one, please select the next upcoming consult you will have with Catherine).
Details of Consult Time / Date Booked (if Applicable)*
Please state what time and date you have booked for your consult (if you have already made a booking)
Name of Animal Parent*
Animal Parent Name
Email*
Phone Number Including Country Code*
Address and Time Zone*
How Did You Hear About Me?*
Please include any social media platforms , personal recommendations etc.
Name, Sex & Age of Animal*
Species & Breed (if Applicable)*
How Long Has Your Animal Been In Your Care & What Is Their Background?*
Please include anything known about their background before they came to you
Describe Physical & Behavioural Condition OR Communication Priorities*
Please describe, in as much detail as possible and CURRENT or PREVIOUS physical or behavioural concerns OR For ANIMAL COMMUNICATION please state here if you have specific issues you wish us to cover in the communication
For Animal Communication please submit 2 photos as detailed below*
- I confirm I will provide this after submitting this form.
- I confirm I have already provided this via the email below.
- I have booked a different consult.
For the Animal Communication please submit 2 pictures: 1 showing the face and 1 showing the whole animal and email to CATHERINEEDWARDSLIFE17@GMAIL.COM OR WHATSAPP TO +447796170455 WITH ANIMAL NAME IN SUBJECT
Veterinary or Other Diagnosis & Any Medication / Supplements / Therapies*
Please provide details of any diagnosis given to your animal. Please provide full details of any medication your animal is or has taken, any supplements, including brand names/ingredients and any treatments they have received
Any Therapies already Tried?
Please provide full details of any therapies that you have tried to address any current conditions - physical or behavioural
Parasite Control & Vaccinations*
Please provide full details, including dates of known, of any treatments given for the control of fleas / ticks / worms or any other parasites etc and any vaccinations recieved
Do you have any of these at home: Smart Meter (if so where is it), WiFi, any EMF protection devices (if so please name)*
Possible Chemical Exposure*
Please provide full details of Household cleaners used (domestic animals); any chemicals used in garden/yard / fields; there you have agricultural land near where your animal is kept/exercised
How often do you change the water bowl and what do you use to clean it?*
Exercise Details & Times*
Please provide full details of typical weekly exercise undertaken - including opportunity to socialise with others from the same species
Sleep: where does your animal sleep - please describe in as much detail as possible*
What are the main areas of stress that your animal is exposed to? Please give as much detail as you can.*
Feed & Supplements*
Please provide full details of feed/supplements / treats given regularly, if there have been any changes to this in recent months, and feeding times.
Changes in Behaviour*
Have there been any recent changes in behaviour recently? Please describe in as much detail as possible
Any Known Allergies?*
Please describe any known allergies, how long thees have been present and what symptoms they show
Eye or Nose Discharge, Skin & Coat Condition & Hoof Care Regime (Horses)*
Please describe if any eye or nose discharge, and describe condition of their coat/skin. For Horses please state if shod / any hoof issues / special balancing
Dental Information*
Has your animal had a dental check/treatment - of so please state when and details of what was undertaken.
Neutered / Spayed / Gelded?*
Has your animal been spayed/neutered/gelded? If so when/ at what age? Any complications?
If female has your animal had any litters / foals - please provide full deatils including age weaned*
Which other animals are currently in your household, and have you experienced the loss of any animals in the past two years?*
Any additional information you think I should know?
Sign & Date*
Please sign / print name and date confirming all the information provided is correct

CONSULT FORM FOR HUMANS

The more detail you provide, the more accurate, personalised, and effective your consultation will be.

For example:

Diet: Please include as much detail on your diet, for example do you buy organic or not, what would a typical days food and drink look like for you? When do you eat typically – please under the Diet question list everything you ate and drunk (be honest, there is no judgement) over the last 3 days, to the best of your memory), portion sizes, and any supplements (including how long they’ve been used).

Exercise Details: please be specific eg 20 min walk most mornings, please state type and times of exercise, and where you do this. For Potential Chemical Exposure: please list cleaning brands used, any air fresheners, and chemicals used in garden etc? Any nearby farmland or public green spaces, and anything else that may contribute to toxic load? Do you smoke or use drugs (everything is confidential)

Every detail helps me build a clear picture of what’s influencing your health.

Thank you for taking the time — your thoroughness genuinely makes a difference in the results we can achieve together.

Which consult have you booked?*
- Reset & Recharge
- Deep Reset Package
- Mentoring & Support
- Quick Clarity Consult
(If you've booked more than one, please select the next upcoming consult you will have with Catherine).
Details of Consult Time / Date Booked (if Applicable)*
Please state what time and date you have booked for your consult (if you have already made a booking)
Your Name*
Email*
Phone Number Including Country Code*
Address and Time Zone*
What are your current Health Challenges?*
Please describe, In as much detail as possible, your current health challenges IN ORDER OF PRIORITY.
What Impact do these challenges have on your daily life?*
Please describe, In as much detail as possible, how these issues affect your daily life. Please be specific. INCLUDE ANYTHING YOU CAN'T DO BECAUSE OF THIS, HOW THEY MAKE YOU FEEL
Please list any medications you are on & any medical treatment you are currently receiving or have received within the last year
Please provide full details and include which have been effective with descriptions
Please list any supplements or holistic alternative therapies you have tried within the last 5 years
Please provide full details and include which have been effective with descriptions
Do you have any of these at home: Smart Meter (if so where is it), WiFi, any EMF protection devices (if so please name)*
Possible Chemical Exposure*
Please provide full details of possible chemical exposure - including household cleaners used; any chemicals used in the garden; do you have agricultural land near where your live, any known mould exposure etc.
Approximately how much water do you drink on an average day?*
Do you filter your water? If so, what with?*
Exercise Details & Times*
Please provide full details of typical weekly exercise undertaken - please be honest
What are the main areas of stress that you are exposed to? Please give as much detail as you can.*
Please describe how you cope with stress, what current stress / relevant past stress you are experiencing. Anything you feel relevant. Please also describe how you relax - include as much detail as possible.
Diet & Supplements*
Please provide full details of your diet/supplements, if there have been any changes to this in recent months. e.g. vegetarian / vegan / carnivore. Do you drink / smoke / take recreational drugs?
Sleep: What time do you go to bed and get up? Do you wake in the night regularly, if so what time?*
Please describe in as much detail as possible how your sleep is, do you wake feeling rested and happy etc?
Any Known Allergies?*
Please describe any known allergies, how long thees have been present and what symptoms they show
Dental Information
Have you had any significant dental treatment - of so please state when and details of what was undertaken.
Sign & Date*
Please sign / print name and date confirming all the information provided is correct

If you’ve paid & have now completed the form, don’t forget to book your slot. If you’re feeling a little lost & can’t get back to the calendar, click on your relevant package below:

Reset & Recharge (Humans)

Reset & Recharge (Animals)

Deep Reset (Humans)

Deep Reset (Animals)

Monthly Mentoring & Support (Humans)

Monthly Mentoring & Support (Animals)

Quick Clarity (Humans & Animals)

Animal Communication

Thank You for Booking a Consult

Please now take your time completing this form

Animal Consults

CONSULT FORM FOR ANIMALS

Human Consults

CONSULT FORM FOR HUMANS

If you’ve paid & have now completed the form, don’t forget to book your slot. If you’re feeling a little lost & can’t get back to the calendar, click on your relevant package below:

If you’ve booked an In-Person Consult or an Online Iridology Consult please email me at catherineedwardsnln@gmail.com to check availability.

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